摘要
目的 了解女性睡眠呼吸暂停低通气综合征 (sleepapnea hypopneasyndrome,SAHS)患者不同于男性的症状及多导睡眠图特点。方法 比较男女SAHS患者之间及不同病情严重程度女性患者的症状、多导睡眠监测记录。结果 女性患者平均 ( x±s,以下同 )年龄 (5 1 1± 11 2 )岁大于男性(43 9± 10 1)岁 ,平均体块指数与男性差异无显著性。不同病情严重程度女性患者发生重度打鼾的比例差异有显著性。女性患者平均呼吸暂停低通气指数 (38 7± 32 5 )次 /h较男性 (5 1 6± 2 7 5 )次 /h为低 ,其中平均呼吸暂停指数 (2 3 2± 2 7 1)次 /h较男性 (41 8± 2 7 4 )次 /h低 ,平均低通气指数 (15 6±15 0 )次 /h较男性 (10 3± 10 8)次 /h高。男女患者非快速动眼期氧减指数差异有显著性 ,男性高于女性。结论 女性SAHS患者年龄大于男性 ,病情较男性为轻 ,与肥胖无明显相关 ,非快速动眼期发生动脉血氧饱和度下降较男性更少。
Objective To realize the characteristics of symptoms and polysomnography in women with sleep apnea-hypopnea syndrome(SAHS) compared with that of male patients. Methods The symptoms and polysomnography were compared between men and women with SAHS and among mild (5 to 19 events/h), moderate (20 to 39 events/h), severe (≥40 events/h) of female patients. Results Female patients were older than that of male(51.1±11.2 yr versus 43.9±10.1 yr).The mean body mass index(BMI) for women was (27.8±3.9) kg/m 2 and (28.1±3.8) kg/m 2 for men. Women with higher AHI snored more severely, and female had a lower apnea hypopnea index (AHI) and apnea index (AI) but higher hypopnea index (HI) than did male. In addition, the respiratory events during non-rapid eye movement for men were significantly higher than that for women. Conclusion Female patients are older than male but not more adipose. SAHS and respiratory events during NREM sleep are less severe in women.
出处
《中华耳鼻咽喉科杂志》
CSCD
北大核心
2003年第6期476-479,共4页
Chinese Journal of Otorhinolaryngology
