鼾症患者高血压危险因素分析

Research on the risk factors of hypertension in the snore patients

目的:了解鼾症患者中高血压的发病情况及发生高血压的危险因素。方法:分析248例鼾症患者高血压的构成,分析单纯鼾症与阻塞性睡眠呼吸暂停综合征(OSAHS)患者高血压构成之间的差异以及发生高血压的危险因素。结果:本组患者中,患高血压者占54.03%;OSAHS患者中,患高血压者占57.34%;单纯鼾症患高血压者占35.14%。OSAHS患者与单纯鼾症比较,高血压的构成比明显增加(χ2=6.253,P=0.012);中、重度OSAHS患者与单纯鼾症比较,高血压的构成比明显增加(χ2=7.623,P=0.006);高血压的危险因素是年龄(Exp(B)=1.027,P=0.026)、呼吸暂停和低通气指数(Exp(B)=1.010,P=0.030)和体质量指数(Exp(B)=1.154,P=0.001)。结论:在鼾症患者中,特别是在OSAHS患者中并发高血压者明显增加,年龄、体质量指数以及呼吸暂停低通气指数是高血压的危险因素。

Aim：To explore the incidences and the risk factors of hypertension in the snore patients. Methods：The incidences of hypertension in the snore patients were investigated and logistic regression between hypertension and possible risk factors was performed. Results：In all patients,constitutent ratio of hypertension was 54.03%. In the OSAHS patients, constitutent ratio of hypertension was 57.34%. In the pure snore patients,constitutent ratio of hypertension was 35. 14%. Compared with pure snore patients,constitutent ratio of hypertension in OSAHS patients was significantly increased （x^2 = 6. 253, P = 0. 012）and constitutent ratio of hypertension in moderate and severe OSAHS patients was significantly increased （x^2 =7.623,P=0.006）. The risk factors of hypertension were age（Exp（B） = 1.027,P=0.026）;AHI （Exp（B） = 1. 010,P = 0. 030） and BMI （ Exp （B） = 1. 154, P = 0. 001 ）. Conclusion ： The constitutent ratio of hypertension in the snore patients,especially in the OSAHS patients,is very high. The risk factors of hypertension are age,AHI and BMI.