CAJ | 학술논문

目的：研究阻塞性睡眠呼吸暂停低通气综合征与夜间咽喉反流（LPR）的相关性。方法：选择2012年9月-2013年9月本院接诊的58例OSAHS患者作为研究对象，对患者进行整夜睡眠、咽喉pH及食管压力监测，分析OSAHS与LPR之间的联系。结果：58例患者中，共有17例LPR患者，LPR患者OSAHS严重程度与咽喉pH平均值呈负相关性（P<0.05）；LPR患者食管压力均值及食管压力最低值均低于非LPR患者，比较差异均有统计学意义（P<0.05）。AHI、AHTI、非中枢性AHTI与整夜食管压力平均值呈负相关性（P<0.05）。结论：OSAHS患者病情严重程度与夜间咽喉反流的发生密切相关，OSAHS患者夜间易出现胃食管反流，导致咽喉部pH值下降。
목적：연구조새성수면호흡잠정저통기종합정여야간인후반류（LPR）적상관성。방법：선택2012년9월-2013년9월본원접진적58례OSAHS환자작위연구대상，대환자진행정야수면、인후pH급식관압력감측，분석OSAHS여LPR지간적련계。결과：58례환자중，공유17례LPR환자，LPR환자OSAHS엄중정도여인후pH평균치정부상관성（P<0.05）；LPR환자식관압력균치급식관압력최저치균저우비LPR환자，비교차이균유통계학의의（P<0.05）。AHI、AHTI、비중추성AHTI여정야식관압력평균치정부상관성（P<0.05）。결론：OSAHS환자병정엄중정도여야간인후반류적발생밀절상관，OSAHS환자야간역출현위식관반류，도치인후부pH치하강。
Objective:To study the correlation between obstructive sleep apnea hypopnea syndrom and throat reflux at night.Method:58 patients with OSAHS in our hospital from September 2012 to September 2013 were selected as the research objects. The situation of sleep all night,the pH of the throat and the esophagus pressure were monitored. The relationship between OSAHS and LPR was analyzed.Result:Among the 58 patients,a total of 17 patients were with LPR.In the LPR patients,the severity of OSAHS had a negative correlation with the average pH of the throat(P<0.05). The average pressure and the minimum pressure of the esophageal in patients with LPR were lower than those in patients without LPR,the differences were statistically significant(P<0.05).The AHI,AHTI and non-central AHTI had a negative correlation with the average pressure of the esophageal all night(P<0.05).Conclusion:Severity OSAHS patients is closely related to the throat reflux happened at night.OSAHS patients prone to occurring gastroesophageal reflux, which resulting in a decline in pH value of the throat.