CAJ | 학술논문

目的：分析阻塞性睡眠呼吸暂停低通气综合征（ OSAHS）患者治疗前后血压变化情况。方法选取206例主诉打鼾患者，根据睡眠呼吸监测的结果，分为OSAHS组（ A组）139例和非OSAHS组（ B组）67例，观察OSAHS患者治疗前后24 h动态血压变化情况。结果 A组高血压的发生率均明显高于B组（ P＜0.05），其血压多呈非勺型。 OSAHS患者经过有效的经鼻持续气道正压通气（ NCPAP）、手术等治疗后，血压有下降的趋势。结论 OSAHS患者经有效治疗后血压等趋向于正常，可预防、减少心血管事件的发生。
목적：분석조새성수면호흡잠정저통기종합정（ OSAHS）환자치료전후혈압변화정황。방법선취206례주소타한환자，근거수면호흡감측적결과，분위OSAHS조（ A조）139례화비OSAHS조（ B조）67례，관찰OSAHS환자치료전후24 h동태혈압변화정황。결과 A조고혈압적발생솔균명현고우B조（ P＜0.05），기혈압다정비작형。 OSAHS환자경과유효적경비지속기도정압통기（ NCPAP）、수술등치료후，혈압유하강적추세。결론 OSAHS환자경유효치료후혈압등추향우정상，가예방、감소심혈관사건적발생。
Objective To analyze the changes in blood pressure of obstructive sleep apnea hypopnea syn -drome( OSAHS) patients before and after treatment .Methods Two hundred and six patients complained of snoring were divided into OSAHS group(139 cases) and non-OSAHS group(67 cases) by polysomnography(PSG).All pa-tients were monitored 24 h ambulatory blood pressure with ambulatory blood pressure monitoring , and both groups re-sults were compared analyzed .OSAHS patients received reexamination for 24 h ambulatory blood pressure before treatment and after 6 months later, and the results were compared .Results The incidence of hypertension in OSAHS group were significantly higher than in non-OSAHS group ( P<0.05 ) .The blood pressure of patients with OSAHS showed often a nondipper pattern .Followed-up of 6 months showed after effective nCPAP , surgery and other treat-ment, blood pressure in OSAHS patients had descendent tendency .Conclusion After effective treatment, blood pressure of OSAHS patients tends to be normal , and can prevent and reduce cardiovascular events .