阻塞性睡眠呼吸暂停综合征病人术前心血管系统评估

Evaluation of cardiovascular system complication in patients with obstructive sleep apnea syndrom(OSAS)

目的对阻塞性睡眠呼吸暂停综合征(OSAS)病人术前心血管系统及其相关因素进行评估。方法通过调查行择期UPPP的57例病人,对心血管系统参数及其相关因素进行对比、统计和分析。结果OSAS病人合并高血压、冠心病的发生率显著增高。分别达75.44%和14.04%。心电图异常率达40.35%。OSAS病情越重,合并症越多且重。结论OSAS可继发高血压、冠心病等症,对机体造成严重损害。术前应认真对其心血管功能进行评估,以减少围术期危险心血管事件发生。

Objective To take assessment of the incidence of cardiovascular sys tem complication to 57 patients with OSAS dated to do Uvulopalatopharyngopl asty(UPPP). Methods Investigation were taken both from 57 patient′s files and interview with patients on the day before the operative day.24 hour bloo d pressure monitoring and polysomnography simultaneously recording were used for blood pressure and sleep analysia, other date were gotten from the history of disease, standard eletrocardiogram biochemicallaboratiory test. Results The i ncidence of high blood pressure and coronary artery disease in 57 patients wi th OSAS were 75.44% and 14.04%, the abnormal rate of electrocardiogram was 40. 35%, all the events rate of cardiovascular system complication was 78.95%.Th e more severe of the OSAS, the higher of events rate. Conclusion The incidence of cardiovascular system complications was higher in patients with OSAS who dat ed to take selected UPPP compared with the same age group in general population .We must take serious assessment of their cardiovascular system complications to reduce the morbidity perioperatively .