CAJ | 학술논문

　　目的：观察老年人群中睡眠呼吸暂停综合征(SAS)的临床特点。方法：随机选择SAS确诊患者300例，分为中青年组与老年组，分析对比相关睡眠呼吸暂停综合征诊断指标。结果：中青年组与老年组的体重指数以及颈围两项指标中，中青年组高于老年组，有显著性差异。微觉醒指数以及呼吸暂停低通气指数老年组低于中青年组，平均S a02以及最低S a02指标中老年组较高，有显著性差异。中青年组3、4期睡眠较老年组多，有显著性差异。轻中度S A S老年组较中青年组略高，混合性与中枢性SAS较中青年组更多，存在显著性差异。在分别与BMI和颈围匹配之后，老年组中呼吸暂停低通气指数(Am)与年龄之间呈现负相关的关系，呼吸暂停低通气指数与BMI、呼吸暂停低通气指数与颈围均呈正相关。结论：分别匹配BMI以及颈围之后，老年组的SAS严重程度比中青年组轻，在老年组中混合性与中枢性SAS发生率更多。
　　목적：관찰노년인군중수면호흡잠정종합정(SAS)적림상특점。방법：수궤선택SAS학진환자300례，분위중청년조여노년조，분석대비상관수면호흡잠정종합정진단지표。결과：중청년조여노년조적체중지수이급경위량항지표중，중청년조고우노년조，유현저성차이。미각성지수이급호흡잠정저통기지수노년조저우중청년조，평균S a02이급최저S a02지표중노년조교고，유현저성차이。중청년조3、4기수면교노년조다，유현저성차이。경중도S A S노년조교중청년조략고，혼합성여중추성SAS교중청년조경다，존재현저성차이。재분별여BMI화경위필배지후，노년조중호흡잠정저통기지수(Am)여년령지간정현부상관적관계，호흡잠정저통기지수여BMI、호흡잠정저통기지수여경위균정정상관。결론：분별필배BMI이급경위지후，노년조적SAS엄중정도비중청년조경，재노년조중혼합성여중추성SAS발생솔경다。
Objective: To research the clinical characteristics of elderly sleep apnea syndrome(SAS).Methods: 300 SAS patients were selected randomly and classified into middle aged and aged groups according to their age.Analysis the diagnosis indox. Results: Both the body mass index(BMI)and neck circumference in middle aged group were significantly higher.The microarousal index(MAI) and apnea/hypopnea index(AHI) in the aged group were both significantly lower, however, in the aged group the minimum oxygen saturation(Sa02)and average Sa02 were markedly higher.In the middle aged group, theⅢ-Ⅳ sleep period was much more.In the aged group, the mild to moderate SAS was little more as wel as the central and mixed SAS(P<0.05).Matched with BMI and neck circumference,in the aged group age was negatively correlated to AHI,AHI was positively correlated to BMI as wel as to neck circumference. Conclusion: In the aged group, SAS patients were less severe matched with BMI and neck circumference, the incidence of central and mixed SAS were much more.