阻塞性睡眠呼吸暂停低通气综合征患者的超声指标相关性分析

Correlation Analysis of Ultrasonographic Parameters in Patients with Obstructive Sleep Apnea Hypopnea Syndrome

目的:分析阻塞性睡眠呼吸暂停低通气综合征(Obstructive Sleep Apnea Hypopnea Syndrome,OSAHS)患者的超声指标相关性。方法:选取2020年2月至2021年1月东莞仁康医院收治的OSAHS患者40例作为观察组,另选取同期我院体检健康志愿者40例作为对照组,经过多导睡眠监测(Polysomnography,PSG)对2组的睡眠呼吸暂停低通气指数(Apnea-Hpopnea Index,AHI)进行监测,采用超声仪、探头X5-1及浅表探头L12-3对2组人员的颈动脉脉搏波传导速度(PWV1)、降主动脉脉搏波传导速度(PWV2)、臂踝脉搏波传导速度(baPWV)进行测量,AHI与超声指标的相关性分析采用多元线性回归分析。结果:观察组AHI、PWV1、PWV2、baPWV均显著高于对照组,2组比较差异有统计学意义(P<0.05);AHI与超声指标存在正相关性,差异有统计学意义(P<0.05)。结论:OSAHS患者的大动脉顺应性发生了改变。

Objective:To analyze the correlation of ultrasonic index in patients with Obstructive Sleep Apnea Hypopnea Syndrome(OSAHS).Methods:A total of 40 cases of OSAHS patients admitted to Dongguan Renkang Hospital from February 2020 to January 2021 were selected as the observation group,and 40 cases of healthy volunteers in our hospital during the same period were selected as the control group,the Polysomnography and sleep Apnea hypopnea Index of the two groups were monitored.The carotid artery pulse wave conduction velocity(PWV1),descending aorta pulse wave conduction velocity(PWV2)and bracolleolar pulse wave conduction velocity(BAPWV)of the two groups were measured by ultrasound apparatus,probe X5-1 and superficial probe L12-3.Multiple linear regression analysis was used to analyze the correlation between AHI and ultrasonic indexes.Results:AHI,PWV1,PWV2 and BAPWV in the observation group were significantly higher than those in the control group,with statistical significance(P<0.05).There was a positive correlation between AHI and ultrasonic indicators,and the difference was statistically significant(P<0.05).Conclusion:The compliance of the aorta in OSAHS patients has been changed.