阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的严重程度分级对ST段抬高型急性心肌梗死(STEMI)患者预后的影响

Effect of (OSAHS) Severity Grading on Prognosis of (STEMI) Patients with ST Segment Elevation Acute Myocardial Infarction

目的:探讨阻塞性睡眠呼吸暂停低通气综合征的严重程度分级对ST段抬高型急性心肌梗死患者预后的影响。方法:选取2016年12月至2018年10月玉带山社区卫生服务中心收治的ST段抬高型急性心肌梗死合并阻塞性睡眠呼吸暂停低通气综合征患者60例作为观察组,且按照阻塞性睡眠呼吸暂停低通气综合征的严重程度分为观察1组(轻度)、观察2组(中度)、观察3组(重度),每组20例;同期选择60例单纯ST段抬高型急性心肌梗死患者作为对照组,对2组患者的NIHSS评分、BI指数及mRS评分进行观察及评估。结果:治疗前观察组与对照组患者的NIHSS评分、BI指数及mRS评分比较,差异无统计学意义(P>0.05);治疗后观察组的NIHSS评分、mRS评分高于对照组,而BI指数低于对照组(P<0.05)。观察组治疗前NIHSS评分、mRS评分由低到高顺序为观察1组<观察2组<观察3组,而BI指数观察1组>观察2组>观察3组;治疗后3组NIHSS评分、mRS评分低于均低于治疗前,而BI指数高于治疗前(P<0.05),且高低顺序与治疗前相同。结论:阻塞性睡眠呼吸暂停低通气综合征的严重程度可影响ST段抬高型急性心肌梗死患者的神经功能、日常生活能力及残障程度,且影响程度与阻塞性睡眠呼吸暂停低通气综合征的严重度呈正比关系。

Objective:To investigate the effect of severity grading of obstructive sleep apnea hypopnea syndrome on prognosis in patients with ST-segment elevation acute myocardial infarction. Methods:From December2016 to October2018,60 patients with ST segment elevation acute myocardial infarction complicated with obstructive sleep Apnea hypopnea syndrome were selected as observation group.According to the severity of obstructive sleep Apnea hypopnea syndrome,they were divided into observation group 1(mild),observation group2(moderate),observation group 3(severe),each group( n =20).At the same time,60 patients with simple ST segment elevation acute myocardial infarction were selected as the control group.The NIHSS score,BI index and mRS score of the two groups were observed and evaluated. Results:There was no significant difference in NIHSS score,BI index and mRS score between the observation group and the control group before treatment,but the NIHSS score and mRS score in the observation group were higher than those in the control group,while the BI index was lower than that in the control group.The order of NIHSS score and mRS score before treatment in the observation group was as follows:observation group1<observation group2<observation group 3,while BI index group1>observation group2>observation group 3.After treatment,the NIHSS score and mRS score of the three groups were lower than those before treatment,while the BI index was higher than that before treatment,and the order was the same as that before treatment. Conclusion:The severity of obstructive sleep apnea hypopnea syndrome can affect the neurological function ,daily living ability and disability degree of patients with ST segment elevation acute myocardial infarction,and the degree of influence is proportional to the severity of obstructive sleep Apnea hypopnea syndrome.