
浏览全部资源
扫码关注微信
纸质出版:2007
移动端阅览
李兵,张峰,余林.老年OSAHS患者多导睡眠监测结果分析及临床意义[J].陆军军医大学学报(原第三军医大学学报),2007,29(20):1994-1995.
LI Bing,ZHANG Feng,YU Lin.Obstructive sleep apnea-hypopnea syndrome in aged vs younger patients[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(20):1994-1995.
目的 探讨老年阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apneahypopnea syndrome, OSAHS)患者多导睡眠监测的临床意义。 方法 随机抽取2003年2月至2005年12月期间,我科收治的经多导睡眠监测仪(polysomnography,PSG)确诊的老年OSAHS和非老年OSAHS患者(对照组)各42例,分析两组患者PSG监测结果以及临床特征。 结果 老年组OSAHS患者微觉醒指数(Microarousal index
MAI)和呼吸暂停低通气指数(apnea hypopnea index, AHI)低于非老年组,差异具有显著性(P0.05);老年组OSAHS患者平均血氧饱和度和最低血氧饱和度(lowest arterial oxygen saturation, LSAT)与非老年组相比,差异无显著性(P0.05);老年组重度OSAHS患者明显少于非老年组(P0.05)。 结论 老年OSAHS患者病情较非老年患者轻,易受OSAHS引起的低氧血症和高碳酸血症的影响,导致并发症的发生,增加死亡率,要重视老年OSAHS的早期诊断与治疗。
Objective To study the clinical characteristics of obstructive sleep apnea-hypopnea syndrome in the aged. Methods Forty-two over 60 patients with obstruction sleep apnea-hypopnea syndrome (OSAHS) diagnosed by polysomnography (PSG) and 42 matched but less than 60 years OSAHS patients were selected
who were admitted to our hospital from February 2003 to December 2005. The clinical presentations and the results of PSG monitoring were analyzed between the two groups. Results The apnea-hypopnea index (AHI) and microarousal index (MAI) in the aged group were significantly lower than that in the younger group (P0.05)
but mean arterial oxygen saturation and the lowest arterial oxygen saturation showed no significant difference between the two groups (P0.05). The number of severe OSAHS in the aged group was less than in the younger group (P0.05). Conclusion OSAHS in the aged is more complicated and not typical
but less severe than that in the younger patients. However
aged patients are vulnerable to hypoxemia and hypercapnia caused by OSAHS and easy to get complications that would decrease their life quality and increase the mortality. More attention should be paid to the early diagnosis and treatment of OSAHS in the aged.
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621