阻塞性睡眠呼吸暂停低通气综合征合并急性缺血性脑卒中患者持续正压通气治疗的临床观察

发布时间：2018-06-25 02:23

本文选题：OSAHS + AIS　；参考：《中国实用医药》2012年16期

【摘要】：目的探讨经鼻持续正压通气(nCPAP)对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)合并急性缺血性脑卒中(AIS)患者神经功能恢复的影响。方法按照OSAHS及AIS的诊断标准选取42例OSAHS合并AIS患者(简称OA组),评估患者的神经功能缺损情况。随机分为干预组20例和对照组22例,对照组患者进行急性脑卒中的常规治疗,干预组在常规治疗基础上加用nCPAP治疗。治疗1月后复查多导睡眠图(PSG)并再次评估患者的神经功能缺损程度,观察其变化。结果 OA干预组较对照组患者神经功能缺损程度改善明显(P0.05),具有统计学意义。结论 nCPAP治疗可改善OSAHS合并AIS患者的呼吸暂停,促进神经功能的恢复。
[Abstract]:Objective to investigate the effect of nasal continuous positive pressure ventilation (nCPAP) on the recovery of nerve function in patients with obstructive sleep apnea hypopnea syndrome (OSAHS) and acute ischemic stroke (AIS). Methods according to the diagnostic criteria of OSAHS and AIS, 42 patients with OSAHS combined with AIS (OA group) were selected to evaluate the neurological deficit. 20 cases in the intervention group and 22 cases in the control group were randomly divided into two groups. The patients in the control group were treated with routine treatment of acute stroke, and the intervention group was treated with nCPAP on the basis of routine treatment. After one month of treatment, polysomnography (PSG) was reviewed and the degree of neurological impairment was evaluated again. Results the degree of nerve function defect in OA intervention group was significantly improved than that in control group (P 0.05). Conclusion nCPAP can improve the apnea and promote the recovery of nerve function in OSAHS patients with AIS.
【作者单位】：山西医科大学第一医院呼吸科;
【分类号】：R766;R743.3

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