健康研究
健康研究
건강연구
Health Research
2015年
5期
487-489
,共3页
呼吸内科%阻塞性睡眠呼吸暂停低通气综合征%行为干预
呼吸內科%阻塞性睡眠呼吸暫停低通氣綜閤徵%行為榦預
호흡내과%조새성수면호흡잠정저통기종합정%행위간예
respiratory medicine%obstructive sleep apnea-hypopnea syndrome%behavior intervention
目的：探讨早期行为干预在呼吸内科阻塞性睡眠呼吸暂停低通气综合征（ obstructive sleep apnea-hypopnea syndrome， OSAHS）风险老年男性患者中的临床价值。方法柏林问卷筛查呼吸内科60岁以上住院男性患者中OSAHS患者及风险者，将76名风险者匹配分入干预组和对照组，对干预组患者进行行为干预，比较6、12月后干预组和对照组风险相关指标变化。结果筛查321名呼吸内科老年男性患者，OSAHS患者24人（7．5％），风险人数76（23．7％），慢性阻塞性肺疾病（chronic obstructive pulmonary disease，COPD）、哮喘患者的发病率（8．9％）、风险率（26．3％）均高于其他疾病患者（均P＜0．05）；行为干预6、12月后，干预组嗜睡得分、睡眠质量、症状得分显著下降且低于同期对照组，12个月风险得分显著下降且低于对照组，差异均有统计学意义（P＜0．05），BMI指数无显著改变（P＞0．05）。结论对呼吸内科老年男性患者进行早期行为干预，能够显著降低OSAHS风险。
目的：探討早期行為榦預在呼吸內科阻塞性睡眠呼吸暫停低通氣綜閤徵（ obstructive sleep apnea-hypopnea syndrome， OSAHS）風險老年男性患者中的臨床價值。方法柏林問捲篩查呼吸內科60歲以上住院男性患者中OSAHS患者及風險者，將76名風險者匹配分入榦預組和對照組，對榦預組患者進行行為榦預，比較6、12月後榦預組和對照組風險相關指標變化。結果篩查321名呼吸內科老年男性患者，OSAHS患者24人（7．5％），風險人數76（23．7％），慢性阻塞性肺疾病（chronic obstructive pulmonary disease，COPD）、哮喘患者的髮病率（8．9％）、風險率（26．3％）均高于其他疾病患者（均P＜0．05）；行為榦預6、12月後，榦預組嗜睡得分、睡眠質量、癥狀得分顯著下降且低于同期對照組，12箇月風險得分顯著下降且低于對照組，差異均有統計學意義（P＜0．05），BMI指數無顯著改變（P＞0．05）。結論對呼吸內科老年男性患者進行早期行為榦預，能夠顯著降低OSAHS風險。
목적：탐토조기행위간예재호흡내과조새성수면호흡잠정저통기종합정（ obstructive sleep apnea-hypopnea syndrome， OSAHS）풍험노년남성환자중적림상개치。방법백림문권사사호흡내과60세이상주원남성환자중OSAHS환자급풍험자，장76명풍험자필배분입간예조화대조조，대간예조환자진행행위간예，비교6、12월후간예조화대조조풍험상관지표변화。결과사사321명호흡내과노년남성환자，OSAHS환자24인（7．5％），풍험인수76（23．7％），만성조새성폐질병（chronic obstructive pulmonary disease，COPD）、효천환자적발병솔（8．9％）、풍험솔（26．3％）균고우기타질병환자（균P＜0．05）；행위간예6、12월후，간예조기수득분、수면질량、증상득분현저하강차저우동기대조조，12개월풍험득분현저하강차저우대조조，차이균유통계학의의（P＜0．05），BMI지수무현저개변（P＞0．05）。결론대호흡내과노년남성환자진행조기행위간예，능구현저강저OSAHS풍험。
Objective To evaluate the efficacy of behavioral intervention in reducing the risk of obstructive sleep apnea-hypopnea syndrome( OSAHS) in elderly male people.Method The Berlin questionnaire was first used to screen the in-patients admitted to the department of respiratory medicine for OSAHS patients and those at risk of OSAHS.76 patients with OSAHS or at risk of OSAHS were divided into an experimental group and a control group.Then, the experimental group were administered with behavior intervention.6 and 12 months after intervention, the risk indicators as observed in the two groups were analyzed and compared.Findings 321 elderly male patients from the department of respiratory medicine were surveyed.24(7.5%) patients were diagnosed as cases of OSAHS and 76(23.7%) at risk of OSAHS. Chronic obstructive pulmonary disease(COPD)and asthma patients had higher rate of OSAHS and risk(P<0.05).Sleep quality, drowsiness, symptom scores of the experimental group were improved.The total risk score as obtained 12-months after intervention was reduced and lower than those of the control group(P<0.05).No significant difference was found in BMI (P>0.05) between the two groups.Conclusion Early behavior intervention for elderly male patients can significantly prevent them from suffering the risk of OSAHS.
