摘要
目的探讨60岁以上男性阻塞性睡眠呼吸暂停低通气综合征（OSAHS）合并高血压的发生率及临床特点。方法选取2011年1月~2013年1月在海军总医院诊治的305例60岁以上确诊OSAHS的男性患者,收集其临床资料及多导睡眠呼吸监测结果,根据是否合并高血压病分为非高血压OSAHS组和高血压OSAHS组。结果 60岁以上男性OSAHS患者中合并高血压的患者达60.66%。高血压OSAHS组的睡前及醒后血压均明显高于非高血压OSAHS组（P〈0.05）,呼吸暂停低通气指数（AHI）也高于非高血压OSAHS组（P〈0.05）,最低血氧饱和度低于非高血压OSAHS组（P〈0.05）。结论 60岁以上男性OSAHS患者中高血压的发生率较高,老年OSAHS患者合并高血压会加重OSAHS的病情程度和高血压的难治程度,对于OSAHS患者有血压增高的趋势应及时干预治疗。
Objective To explore the incidence and clinical characteristics of men over the age of 60 with obstructive sleep apnea hypopnea syndrome（OSAHS） and hypertension. Methods 305 men over the age of 60 with OSAHS diagnosed by polysomnography（PSG）,hospitalized from Jan 2011 to Jan 2013,were selected and divided into two groups according to their blood pressure ：simple OSAHS patients and OSAHS complicated with hypertension patients. The clinical characteristics and PSG data of all patients were documented. Results The incidence of hypertension in men overthe age of 60 with OSAHS was 60.66%. The level of blood pressure both in systolic pressure and diastolic pressure（SBP and DBP） before sleeping in the night and just after waking in the morning were higher in patients with OSAHS complicated with hypertension than that those in OSAHS without hypertension（ P〈0.05）. Apnea hypopnea index（AHI） was also higher in OSAHS complicated with hypertension group than that in OSAHS without hypertension group（P〈0.05）. The lowest oxygen saturation was lower in OSAHS complicated with hypertension group than that in OSAHS without hypertension group（P〈0.05）. Conclusion The incidence of hypertension in men overthe age of 60 with OSAHS is relatively high.It is indicated that blood pressure plays a considerable role in the progress of OSAHS and that the high level of blood pressure in OSAHS patients can be treated timely.
出处
《中华保健医学杂志》
2014年第5期356-358,共3页
Chinese Journal of Health Care and Medicine
基金
全军医药卫生科研基金课题(10BJZ08)
