中华神经医学杂志
中華神經醫學雜誌
중화신경의학잡지
CHINESE JOURNAL OF NEUROMEDICINE
2015年
5期
493-496
,共4页
宋学萍%于士龙%杨惠娟%郭阳%谢惠芳%祝淑贞%潘速跃
宋學萍%于士龍%楊惠娟%郭暘%謝惠芳%祝淑貞%潘速躍
송학평%우사룡%양혜연%곽양%사혜방%축숙정%반속약
经颅多普勒超声%脑血流储备%阻塞性睡眠呼吸暂停低通气综合征%突发性脑血管事件
經顱多普勒超聲%腦血流儲備%阻塞性睡眠呼吸暫停低通氣綜閤徵%突髮性腦血管事件
경로다보륵초성%뇌혈류저비%조새성수면호흡잠정저통기종합정%돌발성뇌혈관사건
Transcranial Doppler%Cerebrovascular reserve%Obstructive sleep apnea hypopnea syndrome%Stroke
目的 应用经颅多普勒超声(TCD)评价阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者脑血流储备(CVR)的变化及其与脑血管突发事件的关系.方法 选择自2012年6月至2013年1月在南方医科大学南方医院、广州医学院第一附属医院、广州市白云区人民医院神经内科和睡眠呼吸中心就诊并确诊为OSAHS的患者126例,根据多导睡眠图(PSG)检测结果将OSAHS患者分为轻度OSAHS组(49例)、中度OSAHS组(44例)、重度OSAHS组(33例);选择同期广州市白云区人民医院的健康体检人员40例做为对照组.应用TCD检测双侧大脑中动脉的CVR,比较4组受试者大脑中动脉的收缩储备、扩张储备、整体储备及2年随访时间内突发性脑血管事件的发生情况.结果 与对照组和轻度OSAHS组比较,中度、重度OSAHS组患者收缩储备、扩张储备、整体储备均下降,差异有统计学意义(P<0.05).与中度OSAHS组比较,重度OSAHS组患者收缩储备、扩张储备、整体储备均下降,差异有统计学意义(P<0.05).在2年的随访时间内,重度OSAHS组患者突发性脑血管事件的发生率(12.12%)高于对照组(0%)及轻度(0%)、中度OSAHS组(4.55%),差异有统计学意义(P<0.05).结论 OSAHS患者的病情越重,CVR越低.重度OSAHS患者的脑血管突发事件发生率明显较高.
目的 應用經顱多普勒超聲(TCD)評價阻塞性睡眠呼吸暫停低通氣綜閤徵(OSAHS)患者腦血流儲備(CVR)的變化及其與腦血管突髮事件的關繫.方法 選擇自2012年6月至2013年1月在南方醫科大學南方醫院、廣州醫學院第一附屬醫院、廣州市白雲區人民醫院神經內科和睡眠呼吸中心就診併確診為OSAHS的患者126例,根據多導睡眠圖(PSG)檢測結果將OSAHS患者分為輕度OSAHS組(49例)、中度OSAHS組(44例)、重度OSAHS組(33例);選擇同期廣州市白雲區人民醫院的健康體檢人員40例做為對照組.應用TCD檢測雙側大腦中動脈的CVR,比較4組受試者大腦中動脈的收縮儲備、擴張儲備、整體儲備及2年隨訪時間內突髮性腦血管事件的髮生情況.結果 與對照組和輕度OSAHS組比較,中度、重度OSAHS組患者收縮儲備、擴張儲備、整體儲備均下降,差異有統計學意義(P<0.05).與中度OSAHS組比較,重度OSAHS組患者收縮儲備、擴張儲備、整體儲備均下降,差異有統計學意義(P<0.05).在2年的隨訪時間內,重度OSAHS組患者突髮性腦血管事件的髮生率(12.12%)高于對照組(0%)及輕度(0%)、中度OSAHS組(4.55%),差異有統計學意義(P<0.05).結論 OSAHS患者的病情越重,CVR越低.重度OSAHS患者的腦血管突髮事件髮生率明顯較高.
목적 응용경로다보륵초성(TCD)평개조새성수면호흡잠정저통기종합정(OSAHS)환자뇌혈류저비(CVR)적변화급기여뇌혈관돌발사건적관계.방법 선택자2012년6월지2013년1월재남방의과대학남방의원、엄주의학원제일부속의원、엄주시백운구인민의원신경내과화수면호흡중심취진병학진위OSAHS적환자126례,근거다도수면도(PSG)검측결과장OSAHS환자분위경도OSAHS조(49례)、중도OSAHS조(44례)、중도OSAHS조(33례);선택동기엄주시백운구인민의원적건강체검인원40례주위대조조.응용TCD검측쌍측대뇌중동맥적CVR,비교4조수시자대뇌중동맥적수축저비、확장저비、정체저비급2년수방시간내돌발성뇌혈관사건적발생정황.결과 여대조조화경도OSAHS조비교,중도、중도OSAHS조환자수축저비、확장저비、정체저비균하강,차이유통계학의의(P<0.05).여중도OSAHS조비교,중도OSAHS조환자수축저비、확장저비、정체저비균하강,차이유통계학의의(P<0.05).재2년적수방시간내,중도OSAHS조환자돌발성뇌혈관사건적발생솔(12.12%)고우대조조(0%)급경도(0%)、중도OSAHS조(4.55%),차이유통계학의의(P<0.05).결론 OSAHS환자적병정월중,CVR월저.중도OSAHS환자적뇌혈관돌발사건발생솔명현교고.
Objective To evaluate the changes ofcerebrovascular reserve (CVR) of patients with obstructive sleep apnea hypopnea syndrome (OSAHS) by transcranial cerebral doppler (TCD) and to study its relation with stroke.Methods One hundred and twenty-six patients with OSAHS,admitted to our hospitals from July 2012 to January 2013 and diagnosed as having OSAHS,were chosen in our study;they were divided into mild OSAHS group (n=49),moderate OSAHS group (n=44) and severe OSAHS group (n=33) according to test results of polysomnography (PSG).Another 40 healthy controls were collected.The CVR of all subjects were evaluated by TCD merging with CO2 experiment and compared among different groups.All the subjects were accepted continued two-year follow-up and recorded the accidents of stroke.The morbidities of stroke were compared between different groups.Results As compared with those in the control group and mild OSAHS group,all of the contractile reserve,dilatation reserve and overall reserve descended in moderate OSAHS group and severe OSAHS group with statistically significant differences (P<0.05).As compared with those in the moderate OSAHS group,all of the contractile reserve,dilatation reserve and overall reserve descended in severe OSAHS group,and the differences were statistically significant (P<0.05).In the two years of follow-up,the incidence of stroke in the severe OSAHS group (12.12%) was significantly higher than that in the control group (0%),mild OSAHS group (0%) and moderate OSAHS group (4.55%,P<0.05).Conclusion The heavier the condition of OSAHS,the more obviously descended the CVR;the stroke morbidity of severe OSAHS patients is increased significantly.