临床肺科杂志
臨床肺科雜誌
림상폐과잡지
JOUNAL OF CLINICAL PULMONARY MEDICINE
2014年
10期
1758-1760
,共3页
王永滨%吴静%沈景昊%杨小倩%张义宏
王永濱%吳靜%瀋景昊%楊小倩%張義宏
왕영빈%오정%침경호%양소천%장의굉
阻塞性睡眠呼吸暂停低通气综合征%代谢综合征%荟萃分析
阻塞性睡眠呼吸暫停低通氣綜閤徵%代謝綜閤徵%薈萃分析
조새성수면호흡잠정저통기종합정%대사종합정%회췌분석
obstructive sleep apnea hypopnea syndrome%metabolic syndrome%meta-analysis
目的:荟萃分析方法评价阻塞性睡眠呼吸暂停低通气综合征( OSAHS)与代谢综合征的关系。方法计算机检索PUMEd、中国学术期刊全文数据库等全文数据库并手工检索相关期刊,全面收集阻塞性睡眠呼吸暂停低通气综合征与代谢综合征关系的临床研究,按照纳入、排除标准选择试验并评价质量,采用Revman 5.0软件进行荟萃分析。结果最终纳入6篇文献,荟萃分析结果表明OSAHS患者发生代谢综合征的危险性是非OSAHS患者的3.56倍(95%CI 2.61-3.86)。进一步分析表明,OSAHS患者发生高血压、血脂紊乱、高血糖的危险性分别是非OSAHS患者的3.19倍(95%CI 2.28-4.45)、2.06倍(95%CI 1.48-2.86)、2.58倍(95%CI 1.85-3.61)。结论 OSAHS与代谢综合征之间有联系,可能增加其发病危险性。
目的:薈萃分析方法評價阻塞性睡眠呼吸暫停低通氣綜閤徵( OSAHS)與代謝綜閤徵的關繫。方法計算機檢索PUMEd、中國學術期刊全文數據庫等全文數據庫併手工檢索相關期刊,全麵收集阻塞性睡眠呼吸暫停低通氣綜閤徵與代謝綜閤徵關繫的臨床研究,按照納入、排除標準選擇試驗併評價質量,採用Revman 5.0軟件進行薈萃分析。結果最終納入6篇文獻,薈萃分析結果錶明OSAHS患者髮生代謝綜閤徵的危險性是非OSAHS患者的3.56倍(95%CI 2.61-3.86)。進一步分析錶明,OSAHS患者髮生高血壓、血脂紊亂、高血糖的危險性分彆是非OSAHS患者的3.19倍(95%CI 2.28-4.45)、2.06倍(95%CI 1.48-2.86)、2.58倍(95%CI 1.85-3.61)。結論 OSAHS與代謝綜閤徵之間有聯繫,可能增加其髮病危險性。
목적:회췌분석방법평개조새성수면호흡잠정저통기종합정( OSAHS)여대사종합정적관계。방법계산궤검색PUMEd、중국학술기간전문수거고등전문수거고병수공검색상관기간,전면수집조새성수면호흡잠정저통기종합정여대사종합정관계적림상연구,안조납입、배제표준선택시험병평개질량,채용Revman 5.0연건진행회췌분석。결과최종납입6편문헌,회췌분석결과표명OSAHS환자발생대사종합정적위험성시비OSAHS환자적3.56배(95%CI 2.61-3.86)。진일보분석표명,OSAHS환자발생고혈압、혈지문란、고혈당적위험성분별시비OSAHS환자적3.19배(95%CI 2.28-4.45)、2.06배(95%CI 1.48-2.86)、2.58배(95%CI 1.85-3.61)。결론 OSAHS여대사종합정지간유련계,가능증가기발병위험성。
Objective To explore the association between obstructive sleep apnea hypopnea syndrome and metabolic syndrome by meta-analysis. Methods The clinical trials involving the relationship between obstructive sleep apnea hypopnea syndrome and metabolic syndrome were searched and identified from PUMEd, China Academic Journals full-text database, et al. According to inclusion and exclusion criteria, the related experiment was chosen and the quality was evaluated. Revman 5. 0 software was used to carry out meta-analysis. Results The results of meta-analysis showed that the pooled OR values of MS with OSAHS to N-OSAHS was 3. 56 (95%Cl, 2. 28-4. 45) . Further analysis revealed pooled OR values of hypertension, dyslipidemia and hyperglycemia were 3. 19 (95%CI, 2. 28-4. 45), 2. 06 (95%CI, 1. 48-2. 86) and 2. 58 (95%CI, 1. 85-3. 61) (P<0. 05). Conclusion OS-AHS is associated with MS, which could increase its occurrence.