CAJ | 학술논문

目的：研究阻塞性睡眠呼吸暂停低通气综合征(Obstructive Sleep Apnea-Hypopnea Syndrome，OSAHS)患者AHI与体重指数相关性并探讨其临床意义。方法在纳入研究的182例患者中，经多导睡眠图(PSG)检查确诊OSAHS患者154例，其中轻度、中度以及重度组分别56、65、33例，对照组(单纯鼾症组)28例，比较各组呼吸暂停低通气指数(apnea-hypopnea index，AHI)、体重指数(BMI)的差别；对各组AHI与BMI的相关性进行分析。结果本研究各组AHI、BMI之间比较差异均有统计学意义，对各组的AHI与BMI采用直线二元变量的相关性分析，其相关系数为0.095，P<0.05，两者呈正相关。结论肥胖是OSAHS重要的病因，AHI与BMI正相关；其严重程度与OSAHS病情程度密切相关。
목적：연구조새성수면호흡잠정저통기종합정(Obstructive Sleep Apnea-Hypopnea Syndrome，OSAHS)환자AHI여체중지수상관성병탐토기림상의의。방법재납입연구적182례환자중，경다도수면도(PSG)검사학진OSAHS환자154례，기중경도、중도이급중도조분별56、65、33례，대조조(단순한증조)28례，비교각조호흡잠정저통기지수(apnea-hypopnea index，AHI)、체중지수(BMI)적차별；대각조AHI여BMI적상관성진행분석。결과본연구각조AHI、BMI지간비교차이균유통계학의의，대각조적AHI여BMI채용직선이원변량적상관성분석，기상관계수위0.095，P<0.05，량자정정상관。결론비반시OSAHS중요적병인，AHI여BMI정상관；기엄중정도여OSAHS병정정도밀절상관。
Objective To investigate the relations of body mass index in patients with obstructive sleep apnea-hypopnea syndrome.Methods 182 patients were diagnosed by polysomnography(PSG)and divided into 4 groups by apnea-hypopnea index(AHI),including snorer,mild,middle and sever group.There were 28 cases,56 cases,65 cases,33 cases for 4 groups respectively.Apnea-hypopnea index(AHI) and body mass index(BMI) were analyzed.Results BMI had significant difference for snorer,mild,middle and sever group respectively. Then the correlation of BMI and AHI is positive.Conclusion High BMI is of great importance to the cause of OSAHS.It is significantly associated with the severe degree of the lesion as indicated by AHI.