阻塞型睡眠呼吸暂停综合征和高血压关系的探讨

Explore the relationship of obstructive sleep apnea syndrome and hypertension

目的:分析阻塞型睡眠呼吸暂停综合征(OSAHS)伴或不伴高血压患者的睡眠呼吸障碍,探讨两者之间的关系。方法:对76例行整夜的床旁多导睡眠监测确诊为OSAHS患者,分为高血压组(58例)和非高血压组(18例),对两组进行基础情况和夜间缺氧程度以及OSAHS患者中高血压的危险因素进行分析。结果:高血压组睡眠呼吸暂停低通气指数(AHI)、体重指数(BMI)高于非高血压病组(P<0.05),夜间平均血氧饱和度(SpO2mean)显著下降(P<0.01)。年龄、BMI是OSAHS患者高血压患病的独立危险因素。结论:高血压组AHI、BMI高于非高血压病组。年龄和肥胖是OSAHS合并高血压的独立危险因素。

Objective To analyze the hypertension associated with obstructive sleep apnea-hypopnea syndrome（OSAHS） charaeteristios of sleep disordered breathing and to explore the relationship between the two.Methods The retrospective study recruit 76 consecutive patients,who had a history of snoring,diagnosed OSAHS by the monitoring result of polysomnography（PSG）,the study group were subdivided into hypertension group and non-hypertension group.Results The AHI、BMI and SpO2mean had significant difference between these two groups（P0.05）.Conclusion Age and obesity were independent risk factors for OSAHS with hypertension.