脑血管病患者睡眠呼吸暂停综合征的临床特点与对策

The nursing strategy and clinic observation of obstructive sleep apnea syndrome on patients of cerebrovascular disease

目的 观察脑血管病患者发病前后睡眠呼吸暂停综合征（OSAS）的状况，并提出防治措施。方法 70例不同类型脑血管病住院患者，复习出现OSAS前的病史，观察患病后的状况，并进行总结。结果 OSAS患者中70％有打鼾、憋气病史，89％有白日瞌睡现象。入院后41例（82％）患者1～7d内睡眠中出现不同程度的低通气或呼吸暂停，平均72s，每夜平均发作次数79次。分别采取不同措施均得到有效的治疗。结论 OSAS在脑血管病患者中发病率高，应积极采取措施改善患者的通气。

Objective To clinically observe obstructive sleep apnea syndrome（OSAS） before and after cerebrovascular disease attacking and find prevention ways. Methods Seventy cases of berebrovascular patients were observed the OSAS status and the clinic data were collected in the mean time. Results We found 70% patients with snore and suffocation, 89 % with day drowse before auaeking. After attacking,82 % impatient cases appeared different degree lower ventilation or apnea during 1 ～ 7d sleeping, which the average paroxysm frequency were 79 times per night and the average time were 72s per paroxysm. The therapeutic effects were good through different measures. Conclusion The active measures should be taken on OSAS after cerebrovascular disease attacking,which has a high frequency of OSAS.