阻塞型睡眠呼吸暂停综合征临床特征及CAPA疗效分析

Clinical Features of OSAS in 85 Cases and Curative Effect Analysis of CAPA

目的分析和总结阻塞型睡眠呼吸暂停综合征(OSAS)的临床特征及经鼻持续气道正压通气(CPAP)治疗效果。方法对85例OSAS的临床资料和32例患者应用CPAP治疗效果进行统计分析。结果85例OSAS患者中100%有打鼾,58.8%有夜间憋醒,48.2%有白天嗜睡,40%有记忆力减退,34%有夜间轻度低氧血症,35%有中度低氧血症,15%有重度低氧血症。32例患者经CPAP治疗后,27例打鼾症状消失,临床症状好转。2例疗效不佳,3例不能耐受。结论打鼾、夜间憋醒是OSAS的主要临床表现,CPAP是治疗OSAS的一种有效的治疗方法。

Objective To analyze the clinical features of OSAS and the curative effect of CPAP. Methods A statistical analysis was made to the clinical data of 85 eases with OSAS and of 32 eases receiving CPAP. Results Out of the 85 eases with OSAS,snoring was found in 100% of the patients,waking at night because of suffocating in 58.8% ,lethargy at daytime in 48. 2% ,memory decrease in 40% ,slight hypoxia at night in 34% ,moderate hypoxia in 35% ,severe hypoxia in 15% ;out of the 32 eases treated by CPAP,snoring disappeared in 27 eases,2 eases showed no effect,and 3eases failed to keep on the treatment. Conclusions Snoring and waking at night because of suffocating are the main clinical symptoms of OSAS, CPAP is an effective treatment for OSAS.