81例老年阻塞性睡眠呼吸暂停低通气综合征临床特点分析

发布时间：2018-01-11 15:00

  本文关键词：81例老年阻塞性睡眠呼吸暂停低通气综合征临床特点分析　出处：《重庆医学》2016年11期 　论文类型：期刊论文

  更多相关文章： 睡眠呼吸暂停 阻塞性 低通气综合征 多导睡眠图 特征

【摘要】：目的探讨老年阻塞性睡眠呼吸暂停低通气综合征(OSAHS)与中年OSAHS临床特点和多导睡眠监测特征的差异,为诊断及个体化干预老年OSAHS提供参考依据。方法分析81例老年OSAHS和123例中年OSAHS的一般情况、临床表现和多导睡眠图特点,并按BMI匹配比较两组临床表现及多导睡眠指标差异。结果老年及中年OSAHS患者均以男性居多,老年组BMI及颈腹围均小于中年组(P0.05),而胸围大于中年组(P0.05)。老年组的临床症状如嗜睡、打鼾、晨起头痛、口干及夜间憋醒发生率均低于中年组,差异具有统计学意义(P0.05),而并发症如高血压、糖尿病等患病率明显高于中年组,差异具有统计学意义(P0.05)。老年组OSAHS患病程度主要分布于轻中度,中年组主要分布于中重度,但差异无统计学意义(P0.05)。REM期AHI老年组大于中年组(P0.05),AHI低于中年组(P0.05);NREMⅠ+Ⅱ期大于中年组,差异有统计学意义(P0.05);而NREMⅢ+Ⅳ期、REM期、平均SaO2(%)、MAI小于中年组,LSAT(%)大于中年组,但差异均无统计学意义(P0.05)。结论老年OSAHS患者典型临床表现的发生率低于中年组,然而高血压、糖尿病等并发症患病率明显高于中年组,二者OSAHS严重程度相近,PSG监测结果与中年组存在差异,且REM期AHI与中年组差异明显。
[Abstract]:Objective to investigate the differences between the clinical features and polysomnography monitoring of obstructive sleep apnea hypopnea syndrome (OSAHS) and middle-aged OSAHS. Methods the general situation, clinical manifestation and polysomnography of 81 cases of senile OSAHS and 123 cases of middle-aged OSAHS were analyzed. The clinical manifestations and polysomnography indexes of the two groups were compared according to BMI matching. Results the male was the majority of the elderly and middle-aged patients with OSAHS, and the BMI and the abdominal circumference of the neck in the elderly group were smaller than those in the middle-aged group (P0.05). The incidence of clinical symptoms such as lethargy, snoring, headache, dry mouth and nocturnal strangulation in the elderly group was lower than that in the middle age group (P 0.05). The morbidity of complications such as hypertension and diabetes was significantly higher than that of middle age group, the difference was statistically significant (P 0.05). The prevalence of OSAHS in the elderly group was mainly distributed in mild to moderate. The middle age group was mainly distributed in moderate and severe degree, but the difference was not statistically significant (P 0.05). The AHI in the aged group was higher than that in the middle age group (P 0.05), but it was lower than that in the middle age group (P 0.05). The NREM 鈪，

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