阻塞性睡眠呼吸暂停综合征的临床特征及治疗分析

Analysis of the Clinical Characteristics and the Effect of the Treatment of Obstructive Sleep Apnea Syndrome

目的 :分析和总结阻塞性睡眠呼吸暂停综合征 (OSAS)的临床特征和经鼻持续性气道正压通气 (CPAP)治疗的效果。方法 :对 145例OSAS的临床资料和 44例应用CPAP治疗的资料进行统计分析。结果 :145例OSAS中10 0 %有打鼾 ,6 0 %有夜间憋醒 ,5 1%白天嗜睡 ,40 .7%有记忆力减退 ,40 %有夜间轻度低氧血症 ,42 %有中度低氧血症 ,18%有重度低氧血症。 44例应用CPAP治疗后 ,38例打鼾症状消失 ,临床症状好转。 2例疗效不佳 ,4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的一种有效治疗方法。

l Objective To analyse the clinical characteristics and the effect of the treatment of obstructive sleep apnea syndrome (OSAS) with continuous positive airway pressure (CPAP).Methods To analyse statistical the clinical data of 145 cases with OSAS and the effect of the treatment of 44 cases by CPAP.Results Snoring in 145 cases (100%),choking during sleep in 87 cases (60%),daytime lethargy in 74 cases (51%),memory failing in 59 cases (40.7%),light hypoxemia at night in 50 cases (40%),middling in 53 cases (42%),heavy in 26 cases(18%).After the treatment with CPAP,38 cases of 44 cases snoring has disappeared and clinical symptom has improved ,2 cases are unimproved,4 cases cannot endure.Conclusions Snoring and choking during sleep are the clinical characteristic of OSAS,the CPAP therapy is an effective treatment for OSAS.\;