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咽腔与颏舌肌锻炼对伴舒张性心功能不全腭咽成形术后遗留轻度阻塞性睡眠呼吸暂停低通气综合征患者的康复影响
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作者 李胜 肖芒 +5 位作者 姜晓华 杨庆业 兰金山 廖红建 张宏伟 傅寅 《中国耳鼻咽喉头颈外科》 CSCD 2024年第7期461-466,共6页
目的探讨咽腔与颏舌肌锻炼在伴舒张性心功能不全腭咽成形术后遗留轻度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者中的应用效果。方法选取2021年1月~2023年8月75例伴舒张性心功能不全腭咽成形术后遗留轻度OSAHS患者进行回顾性研究,其中3... 目的探讨咽腔与颏舌肌锻炼在伴舒张性心功能不全腭咽成形术后遗留轻度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者中的应用效果。方法选取2021年1月~2023年8月75例伴舒张性心功能不全腭咽成形术后遗留轻度OSAHS患者进行回顾性研究,其中37例术后进行咽腔与颏舌肌锻炼(观察组),38例未进行咽腔与颏舌肌锻炼(对照组)。收集相关数据,以术后数据为基线值,对比基线及3个月后平均血氧饱和度(mean oxygen saturation,MSpO_(2))、最低血氧饱和度(lowest oxygen saturation,LSpO_(2))、睡眠效率、呼吸暂停指数(apnea index,AI)、睡眠潜伏期、呼吸暂停低通气指数(AHI)、低通气指数(hypopnea index,HI)、微觉醒指数(microarousal index,MAI)、快速眼球运动潜伏期、动脉血二氧化碳分压(PaCO_(2))、pH值、动脉血氧分压(PaO_(2))、左室收缩末期内径(left ventricular end-systolic diameter,LVDs)、血乳酸、左室射血分数(left ventricular ejection fraction,LVEF)、Tei指数、左室舒张末期内径(left ventricular end-diastolic diameter,LVDd)、日间Epworth嗜睡量表(ESS)评分、匹兹堡睡眠质量指数(PSQI)评分及不良心血管事件(major adverse cardiovascular events,MACE)的发生率。结果3个月后,观察组AHI、HI、AI低于对照组,MSpO_(2)、LSpO_(2)高于对照组(P<0.05);观察组睡眠效率高于对照组,日间ESS评分、PSQI评分、MAI低于对照组(P<0.05);观察组PaCO_(2)、LVDd、PaO_(2)、血乳酸、睡眠潜伏期、pH值、LVEF、快速眼球运动潜伏期、LVDd、Tei指数与对照组比较,无显著差异(P>0.05);观察组MACE发生率为5.41%(2/37),与对照组13.16%(5/38)相比,无显著差异(P>0.05)。结论伴舒张性心功能不全腭咽成形术后遗留轻度OSAHS患者接受咽腔与颏舌肌锻炼可改善低通气情况,缓解临床病症,提升睡眠质量,但对患者心功能改善作用有限。 展开更多
关键词 睡眠呼吸暂停 阻塞性 舒张性心功能不全 咽腔 腭咽成形术 颏舌肌 睡眠质量 低通气
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Regional difference of aridity/humidity conditions change over China during the last thirty years 被引量:9
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作者 YIN Yunhe WU Shaohong +1 位作者 ZHENG Du yang qingye 《Chinese Science Bulletin》 SCIE EI CAS 2005年第19期2226-2233,共8页
The meteorological data of 616 stations in China were used to calculate the potential evapotranspira-tion and aridity/humidity index by applying the modified FAO-Penman-Monteith model. Regional difference of trends in... The meteorological data of 616 stations in China were used to calculate the potential evapotranspira-tion and aridity/humidity index by applying the modified FAO-Penman-Monteith model. Regional difference of trends in precipitation, potential evapotranspiration and arid-ity/humidity index over China and their interdecadal varia-tions were analyzed from 1971 to 2000. The results show that all the four climatic factors trends have obvious regional difference and interdecadal variations. Annual precipitation during the 30-year period shows an increasing trend over most regions of China, with decreasing trends in potential evapotranspiration and aridity/humidity index. Most regions in China become more humid, especially significant in northern Xinjiang, eastern Tibet, western Sichuan, and northern Yunnan. The average value over China would mask the regional difference of climate change because of the com-plex environmental condition in China. Therefore regional difference should be analyzed to further understand climate change and its impacts. Both water supply and demand need to be considered when attempting to study regional arid-ity/humidity conditions. 展开更多
关键词 土壤水分蒸发损失总量 干旱现象 湿度 气候因素
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