强化物理干预对高血压合并阻塞性睡眠呼吸暂停的疗效

Effect of intensive physical intervention methods on hypertension patients complicated with OSA

目的探讨强化物理干预方式对高血压合并阻塞性睡眠呼吸暂停(obstructive sleep apnea,OSA)的疗效。方法50例Ⅰ、Ⅱ级高血压合并OSA患者随机分为常规组和干预组,两组均给予标准药物治疗和高血压常规护理,干预组强化针对OSA的物理干预,包括对OSA的健康宣教,指导和调整科学睡眠姿势,“三阴交”穴位按摩催眠法等,干预1周后,重复检测两组24 h动态血压和多导睡眠监测,评价临床疗效、血压和OSA指标变化情况。结果经过1周针对OSA的物理干预,干预组血压下降幅度和OSA指标改善程度显著优于常规组[24 h平均收缩压(131.6±12.7)mmHg vs.(138.5±13.4)mmHg;24 h平均舒张压(82.6±9.1)mmHg vs.(90.3±8.9)mmHg;AHI(10.5±5.9)次/h vs.(17.5±6.7)次/h;SPO_(2)(92.5%±7.8%)vs.(87.6%±8.4%)],差异均有统计学意义(P<0.05)。结论给予高血压合并OSA患者强化物理干预,能协同有效降低血压,改善OSA指标。

Objective To evaluate the therapy effect of intensive physical intervention methods on hypertension patients complicated with OSA.Methods Fifty patients with grade I and II hypertension complicated with OSA were randomly divided into routine group and intervention group.Both groups were given standard drug treatment and routine nursing.The intervention group were strengthened with physical intervention for OSA,including health education,guidance and adjustment of scientific sleep posture,and massage hypnosis of acupoint Sanyinjiao.After one week of intervention,24 hour ambulatory blood pressure and polysomnography were repeatedly checked to evaluate the clinical efficacy.Results The clinical effect of the intervention group was better than that of the routine group,and the decrease of blood pressure and the improvement of OSA indexes were significantly better than those of the routine group[24 h SBP(131.6±12.7)mmHg vs.(138.5±13.4)mmHg;24 h DBP(82.6±9.1)mmHg vs.(90.3±8.9)mmHg;AHI(10.5±5.9)time/h vs.(17.5±6.7)time/h;SPO_(2)(92.5%±7.8%)vs.(87.6%±8.4%)]Conclusion For patients with hypertension complicated with OSA,intensive physical intervention can effectively reduce blood pressure and improve OSA indicators,which is worthy of clinical promotion.