摘要
目的:探讨阻塞性睡眠呼吸暂停综合征(OSAS)的诊断和治疗。方法:对例临床疑有睡眠呼吸障碍者进行整夜82多导睡眠图监测,组≥例,对照组例。分析组的临床表现和两组参数,对典型病例(PSG)OSAS(AHI5)57(AHI<5)25OSAS PSG用经鼻治疗,比较治疗前后参数的变化。CPAPPSG 结果:组打鼾例,白天嗜睡例,夜间憋醒例OSAS57(100%)31(54.4%) 16(。口咽窄小例,肥胖例,高血压例,糖尿病例,肺心病例。组最长28.1%)52(91.2%)28(49.1%)22(38.6%)2(3.5%) 3(5.3%)OSAS呼吸暂停时间±,平均呼吸暂停时间±,±,最低56.2521.36 s25.1310.86 sAHI 45.2220.54 SaO2%±。治疗 () 61.2517.68CPAP后,多项参数均有明显好转,症状改善。PSG结论:加强对的认识,早期诊断和治疗非常重要,是诊断、病OSASPSG OSAS情及治疗效果评价的有效方法。
Objective: To investigate the diagnosis and treatment for obstructive sleep apnea syndrome (OSAS) . Methods≥: 82 cases were monitored with polysomnography (PSG). 57 cases were diagnosed as OSAS (AHI5). 25 cases were normal ( AHI<5).The clinical manifestations of OSAS were analysed .The parameters of PSG between the two groups before and after treatment with CPAP were compared. Results: The major clinical manifestations , concomitant disorders , and complications of OSAS patients were as follows : snoring in 57 cases (100%), daytime lethargy in 31 cases (54.4%), choking during sleep in 16 cases (28.1%), narrow oropharynx in 52 cases (91.2%), obesity in 28 cases (49.1%), hypertension in 22 cases (38.6%) , diabetes mellitus in 2 cases (3.5%), and cor ±pulmonale in 3 cases (5.3%). The parameters of PSG showed that the longest apnea duration was 56.2521.36 ±±seconds , the mean apnea duration 25.1310.86 seconds, apnea /hypopnea index (AHI) 45.2220.54seconds , and the lowest SaO2%± () 61.2517.68. 1 case of severe OSAS was treated with CPAP . The parameters of PSG and symptoms were improved obviously after treatment. Conclusion: It is emphasized that early recognition of OSAS is of critical importance . PSG is an effective method of diagnosis and evaluating effects of treatment for OSAS patients .
出处
《重庆医科大学学报》
CAS
CSCD
2002年第2期211-213,共3页
Journal of Chongqing Medical University
