摘要
目的探究睡眠呼吸暂停低通气综合征对急性肺栓塞患者的影响,对其临床症状及治疗方案进行探究。方法选取2017年7月~2019年7月期间,重庆市江津西城医院呼吸内科收治的肺栓塞患者27例作为研究对象,所选患者在病发一周内进行多导睡眠监测,根据睡眠呼吸暂停低通气指数将患者分为参照组与研究组,睡眠呼吸暂停低通气指数<5次的为参照组,总计10例,≥5次的为研究组,总计17例,对比两组患者预后的PSG结果。结果对比两组患者的AI、AHI、ODI、Arl、HCO3及SLT90%水平,研究组均高于参照组,差异具有统计学意义(P<0.05)。结论年龄、体质量指数、颈围可能是合并睡眠呼吸暂定低通的主要因素,睡眠呼吸暂停低通气可导致肺阻塞患者的肺栓塞范围扩大、肺栓塞低氧程度升高,从而导致患者呼吸更加紊乱。
Objective To investigate the effect of sleep apnea hypopnea syndrome on patients with acute pulmonary embolism,and to explore its clinical symptoms and treatment options.Methods From July 2017 to July 2019,27 patients with pulmonary embolism admitted to the Department of Respiratory Medicine of our hospital were selected as the research subjects.The selected patients were monitored for polysomnography within one week of the disease on the basis of the sleep apnea hypopnea index.The patients were divided into a reference group and a study group.The sleep apnea hypopnea index was less than 5 times as the reference group,a total of 10 cases,and 5 times or more as the study group,a total of 17 cases.The PSG results of the two groups were compared.Results Comparing the 90%levels of AI,AHI,ODI,Arl,HCO3 and SLT in the two groups of patients,the study group was higher than the reference group,and(P<0.05)was statistically significant.Conclusion Age,body mass index,and neck circumference may be the main factors associated with sleep tentative hypopnea.Sleep apnea hypopnea can lead to expanded pulmonary embolism and increased pulmonary embolism in patients with pulmonary obstruction.More chaotic.
作者
刘义龙
LIU Yi-long(Department of Respiratory Medicine,Jiangjin Xicheng Hospital,Chongqing,402260,China)
出处
《中华养生保健》
2020年第8期3-5,共3页
CHINESE HEALTH CARE
