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1. 重庆医科大学临床学院肺科
2. 重庆医科大学临床学院肺科,重庆,400016
纸质出版日期:2002,
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[1]黄仕聪,吴亚梅,王健.阻塞性睡眠呼吸暂停综合征诊治探讨[J].重庆医科大学学报,2002(02):211-213.
HUANG Shicong, et al. Investigation of diagnosis and treatment for obstructive sleep apnea syndrome[J]. Journal of Chongqing Medical University, 2002,(2):211-213.
目的:探讨阻塞性睡眠呼吸暂停综合征(OSAS)的诊断和治疗。方法:对例临床疑有睡眠呼吸障碍者进行整夜82多导睡眠图监测
组≥例
对照组例。分析组的临床表现和两组参数
对典型病例(PSG)OSAS(AHI5)57(AHI<5)25OSAS PSG用经鼻治疗
比较治疗前后参数的变化。CPAPPSG 结果:组打鼾例
白天嗜睡例
夜间憋醒例OSAS57(100%)31(54.4%) 16(。口咽窄小例
肥胖例
高血压例
糖尿病例
肺心病例。组最长28.1%)52(91.2%)28(49.1%)22(38.6%)2(3.5%) 3(5.3%)OSAS呼吸暂停时间±
平均呼吸暂停时间±
±
最低56.2521.36 s25.1310.86 sAHI 45.2220.54 SaO2%±。治疗 () 61.2517.68CPAP后
多项参数均有明显好转
症状改善。PSG结论:加强对的认识
早期诊断和治疗非常重要
是诊断、病OSASPSG OSAS情及治疗效果评价的有效方法。
Objective: To investigate the diagnosis and treatment for obstructive sleep apnea syndrome (OSAS) . Methods≥: 82 cases were monitored with polysomnography (PSG). 57 cases were diagnosed as OSAS (AHI5). 25 cases were normal ( AHI<5).The clinical manifestations of OSAS were analysed .The parameters of PSG between the two groups before and after treatment with CPAP were compared. Results: The major clinical manifestations
concomitant disorders
and complications of OSAS patients were as follows : snoring in 57 cases (100%)
daytime lethargy in 31 cases (54.4%)
choking during sleep in 16 cases (28.1%)
narrow oropharynx in 52 cases (91.2%)
obesity in 28 cases (49.1%)
hypertension in 22 cases (38.6%)
diabetes mellitus in 2 cases (3.5%)
and cor ±pulmonale in 3 cases (5.3%). The parameters of PSG showed that the longest apnea duration was 56.2521.36 ±±seconds
the mean apnea duration 25.1310.86 seconds
apnea /hypopnea index (AHI) 45.2220.54seconds
and the lowest SaO2%± () 61.2517.68. 1 case of severe OSAS was treated with CPAP . The parameters of PSG and symptoms were improved obviously after treatment. Conclusion: It is emphasized that early recognition of OSAS is of critical importance . PSG is an effective method of diagnosis and evaluating effects of treatment for OSAS patients .
阻塞性睡眠呼吸暂停综合征多导睡眠图
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