摘要
目的 :研究心功能不全分级相同情况下慢性充血性心力衰竭 ( CHF)患者睡眠呼吸障碍的发生情况及睡眠呼吸障碍对心功能的影响。方法 :5 7例慢性充血性心力衰竭心功能不全 ～ 级的患者分为对照组、实验组 组和实验 组 ,对其进行夜间睡眠呼吸监测 ,并对患者的呼吸紊乱指数 ( AHI)、最低血氧饱和度 ( L Sa O2 )及夜间低血氧指数进行比较。 结果:实验 组、实验 组睡眠中 L Sa O2 、夜间低血氧指数分别为 75 .93%± 7.81%、39.6 0± 13.19;6 9.5 7%± 14 .2 3%、33.77± 17.10 ,分别与对照组相比差异有统计学意义 ( P均 <0 .0 5 )。 结论 :住院病人慢性 CHF患者在心功能不全分级相同情况下的睡眠呼吸障碍的发生率较高 ,主要为中枢性呼吸睡眠暂停综合征 [陈 -施呼吸 ( CSR) ],同时也可存在阻塞性睡眠呼吸暂停低通气综合征 ( OSAHS)。
Objective: To explore the incidence and influence of sleep breathing disorder in patients with chronic congestive heart failure. Methods: 57 cases of patients with chronic congestive heart failure(Ⅲ～Ⅳgrade in the classification of NYHA) were monitored by Sleep Screen (SC20 Breas Sweden). Results: The control group was 22(38.6%), The study group was 35(61.40%). In the study group Ⅰ and the study group Ⅱ, the lowest arterial oxygen saturation and the lower oxygen saturation index during sleep were 75.93%±7.81% (±s), 39.60±13.19 (±s); 69.57%±14.23% (±s), 33.77±17.10 (±s) respectively to the control group. There was significance (P<0.05). Conclusions: The incidence of sleep breathing disorder (mainly Cheyne Stokes respiration occurring in central sleep apnea, and obstructive sleep apnea syndrome) is rather frequent in patients with chronic congestive heart failure. The episodes of sleep breathing disorder may lead to aggravate the nocturnal hypoxemia.
出处
《新疆医科大学学报》
CAS
2003年第3期207-209,共3页
Journal of Xinjiang Medical University
