摘要
目的分析持续正压通气(CPAP)治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)合并高血压患者的临床价值。方法将我院2012年1月至2014年1月收治的80例OSAHS合并高血压患者随机分为观察组和对照组各40例。观察组给予Auto-CPAP呼吸机进行治疗,对照组单纯口服降压药物进行治疗,对两组患者的治疗效果进行比较和分析。结果治疗后,观察组患者睡眠呼吸暂停通气指数(AHI)显著低于对照组,最低SpO2显著高于对照组,差异有统计学意义(P<0.05);观察组患者治疗3个月、6个月后收缩压及舒张压均显著低于对照组,差异具有统计学意义(P<0.05)。结论 CPAP治疗OSAHS合并高血压可有效改善患者睡眠时的呼吸状态及血压情况,临床效果显著,值得推广使用。
Objective To analyze the clinical value of continuous positive airway pressure（CPAP） in the treatment of patients with obstructive sleep apnea hypopnea syndrome（OSAHS） complicating hypertension. Methods 80 cases of OSAHS patients with hypertension treated in our hospital from January 2012 to January 2014 were randomly divided into observation group（40 cases） and control group（40cases）. The observation group was given Auto-CPAP ventilator for treating, while the control group was only given oral antihypertensive drug therapy. The treatment effect of two groups was compared and analyzed. Results After treatment, the sleep apnea hypopnea index（AHI） of observation group was significantly lower than that of control group, the lowest Sp O2 of observation group was significantly higher than that of control group, the difference was statistically significant（P 0.05）. After 3 months and 6 months of treatment, the systolic and diastolic pressure of patients in observation group were significantly lower than those of patients in control group, with statistically significant difference（P 0.05）. Conclusions CPAP can effectively improve the respiratory status and blood pressure of OSAHS patients complicating hypertension with significant clinical efficacy, which deserves promotion.
出处
《临床医学工程》
2015年第2期133-134,共2页
Clinical Medicine & Engineering
基金
东莞市科技局(卫生局)立项(编号:20131051010071)
关键词
持续正压通气
阻塞性睡眠呼吸暂停低通气综合征
高血压
Continuous positive airway pressure
Obstructive sleep apnea hypopnea syndrome
Hypertension
