现代中西医结合杂志
現代中西醫結閤雜誌
현대중서의결합잡지
MODERN JOURNAL OF INTEGRATED TRADITIONAL CHINESE AND WESTERN MEDICINE
2014年
12期
1264-1266
,共3页
史军艳%吴立欣%周香坦%张丹%董伟%张芳%张潇
史軍豔%吳立訢%週香坦%張丹%董偉%張芳%張瀟
사군염%오립흔%주향탄%장단%동위%장방%장소
持续气道正压通气%阻塞性睡眠呼吸暂停综合征%高血压
持續氣道正壓通氣%阻塞性睡眠呼吸暫停綜閤徵%高血壓
지속기도정압통기%조새성수면호흡잠정종합정%고혈압
continuous positive airway pressure%obstructive sleep apnea syndrome%hypertension
目的：分析持续气道正压通气（ CPAP）治疗阻塞性睡眠呼吸暂停综合征（ OS-AS）合并高血压患者的临床效果。方法随机选取OSAS合并高血压患者96例，将其均分为治疗组和对照组。治疗组患者行CPAP治疗；对照组患者行常规治疗。采用多导睡眠检测仪监测患者的睡眠并记录分析，测定患者的血氧饱和度、鼾声变化和呼吸暂停低通气指数（ AHI）等指标，并比较2组患者收缩压和舒张压的变化情况。结果治疗组收缩压由（161．7±11.9）mmHg（1 mmHg＝0．133kPa）降低为（125．4±10．3） mmHg，对照组收缩压由（162．1±12．0）mmHg降低为（140．9±11．3） mmHg。治疗组AHI由（45．9±18．7）次／h降低为（4．5±3.1）次／h，对照组由（46．0±18．8）次／h降低为（21．4±7．9）次／h。治疗组ESS总分由（19．8±4.3）分降低为（4．5±3.1）分，对照组由（20．0±4．4）分降低为（11．7±4．0）分。结论 CPAP治疗OSAS合并高血压患者有很好的临床效果。它可以有效改善患者嗜睡症状，降低其AHI，还可以降低患者的血压，使其恢复到健康水平。
目的：分析持續氣道正壓通氣（ CPAP）治療阻塞性睡眠呼吸暫停綜閤徵（ OS-AS）閤併高血壓患者的臨床效果。方法隨機選取OSAS閤併高血壓患者96例，將其均分為治療組和對照組。治療組患者行CPAP治療；對照組患者行常規治療。採用多導睡眠檢測儀鑑測患者的睡眠併記錄分析，測定患者的血氧飽和度、鼾聲變化和呼吸暫停低通氣指數（ AHI）等指標，併比較2組患者收縮壓和舒張壓的變化情況。結果治療組收縮壓由（161．7±11.9）mmHg（1 mmHg＝0．133kPa）降低為（125．4±10．3） mmHg，對照組收縮壓由（162．1±12．0）mmHg降低為（140．9±11．3） mmHg。治療組AHI由（45．9±18．7）次／h降低為（4．5±3.1）次／h，對照組由（46．0±18．8）次／h降低為（21．4±7．9）次／h。治療組ESS總分由（19．8±4.3）分降低為（4．5±3.1）分，對照組由（20．0±4．4）分降低為（11．7±4．0）分。結論 CPAP治療OSAS閤併高血壓患者有很好的臨床效果。它可以有效改善患者嗜睡癥狀，降低其AHI，還可以降低患者的血壓，使其恢複到健康水平。
목적：분석지속기도정압통기（ CPAP）치료조새성수면호흡잠정종합정（ OS-AS）합병고혈압환자적림상효과。방법수궤선취OSAS합병고혈압환자96례，장기균분위치료조화대조조。치료조환자행CPAP치료；대조조환자행상규치료。채용다도수면검측의감측환자적수면병기록분석，측정환자적혈양포화도、한성변화화호흡잠정저통기지수（ AHI）등지표，병비교2조환자수축압화서장압적변화정황。결과치료조수축압유（161．7±11.9）mmHg（1 mmHg＝0．133kPa）강저위（125．4±10．3） mmHg，대조조수축압유（162．1±12．0）mmHg강저위（140．9±11．3） mmHg。치료조AHI유（45．9±18．7）차／h강저위（4．5±3.1）차／h，대조조유（46．0±18．8）차／h강저위（21．4±7．9）차／h。치료조ESS총분유（19．8±4.3）분강저위（4．5±3.1）분，대조조유（20．0±4．4）분강저위（11．7±4．0）분。결론 CPAP치료OSAS합병고혈압환자유흔호적림상효과。타가이유효개선환자기수증상，강저기AHI，환가이강저환자적혈압，사기회복도건강수평。
Objective It is to observe the clinical effect of continuous positive airway pressure (CPAP) on the treatment of obstructive sleep apnea syndrome ( OSAS) patients with hypertension .Methods 96 OSAS patients with hypertension were ran-domly selected and divided into experimental group and control group .The patients were received CPAP therapy in experimen-tal group, while normal therapy in control group .The polysomnography (PSG) of patients were detected by polysomnography and recorded .The oxyhemoglobin saturation , index of snore and Apnea Hypopnea Index ( AHI) of those patients were meas-ured, the difference of systolic blood pressure ( SBP) and diastolic blood pressure ( DBP) in both groups were compared and analyzed.Results The SBP of patients in experimental group was decreased from (161.7 ±11.9) mmHg to (125.4 ±10.3) mmHg, while it was decreased from (162.1 ±12.0) mmHg to (140.9 ±11.3) mmHg in control group.The AHI of patients in experimental group was decreased from 45.9 ±18.7 to 4.5 ±3.1, while it was decreased from 46.0 ±18.8 to 21.4 ±7.9 in control group .ConclusionThe clinical effect CPAP is better in treating OSAS patients with hypertension .It can improve the symptom of somnolence and decrease the AHI , and also decrease the blood pressure of patients and renew it to normal level .
