延边地区阻塞性睡眠呼吸暂停低通气综合征患者的生活质量及其影响

发布时间：2019-03-06 15:41

【摘要】：目的：通过对延边朝鲜族地区的阻塞性睡眠呼吸暂停低通气综合征患者基本情况及应用QOL-OSAHS评估表的问卷调查来分析OSAHS患者的生活质量及其影响因素。方法：对78例就诊于延边大学附属医院耳鼻咽喉科OSAHS成人患者进行了询问式问卷调查,调查内容包括：患者的基本情况、应用《成人用阻塞性睡眠呼吸暂停低通气综合征患者生命质量评估表》(《QOL-OSAHS》)对OSAHS患者生活质量进行测量、每个患者经整夜多导睡眠仪监测获取睡眠状况资料。所获资料用Excel建立数据库,应用SPSS17.0统计软件进行一般情况描述、生活质量的评价及可能的生活质量影响因素分析。结果：对延边朝鲜族地区的阻塞性睡眠呼吸暂停低通气综合征患者基本情况及应用QOL-OSAHS评估表的问卷调查结果显示：①朝鲜族和汉族间OSAHS病情程度无统计学意义(x2=0.038,P0.05)；男性和女性OSAHS病情程度有统计学(x2=3.585,p0.05),男性重度最多,女性以中度为多；有无合并高血压患者间OSAHS病情程度有统计学意义(x2=7.440,P0.05),合并高血压的OSAHS患者重度所占比例高。②以QOL-OSAHS量表综合评价得分为因变量,调查的分类资料进行单因素分析结果显示影响OSAHS患者的危险因素对生活质量得分有统计学意义的是合并高血压(t=-2.976,p=0.004,p0.05)及糖尿病(t=-2.397,p=0.019,p0.05)；计量资料与QOL-OSAHS量表综合评分的线性回归分析结果显示BMI和AHI对综合评分指标有显著影响,BMI和AHI值越低,综合评分越高。结论：1.OSAHS患者在一定程度上影响降低患者的生活质量。2.延边朝鲜族地区的朝鲜族与汉族之间OSAHS的病情严重程度及患者的生活质量无显著性差异可能与该地区朝鲜族与汉族的生活习惯相互渗透、同化有关。3.OSAHS患者的疗效评估不能只将目标集中在AHI、BMI、最低血氧饱和度等客观指标改变上,也应该重视OSAHS患者的生活质量评估,更全面地了解患者的生理、心理、社会等方面的功能状态,加强患者的心理干预、精神疏导,提高OSAHS患者的生活质量。
[Abstract]:Aim: to analyze the quality of life (QOL) and its influencing factors of patients with obstructive sleep apnea hypopnea syndrome (OSAS) in Yanbian Korean nationality area by QOL-OSAHS questionnaire. Methods: 78 adult patients with OSAHS in the department of otorhinolaryngology, affiliated hospital of Yanbian University were investigated by questionnaire. The quality of life (QOL) of patients with obstructive sleep apnea-hypopnea syndrome (< QOL-OSAHS >) was measured in adult patients with obstructive sleep apnea-hypopnea syndrome (OSAS). The quality of life (QOL) of each patient was measured by polysomnograph throughout the night. Excel was used to set up the database and SPSS17.0 software was used to describe the general situation, evaluate the quality of life and analyze the possible influencing factors of the quality of life. Results: the basic situation of patients with obstructive sleep apnea hypopnea syndrome (OSAS) in Yanbian Korean area and the results of questionnaire using QOL-OSAHS evaluation form showed that: (1) there was no significant difference in the severity of OSAHS between Korean and Han nationality (x2 脳 0.038, P < 0.01). (P 0.05); The severity of OSAHS was statistically significant in males and females (x2, 3.585, p0.05), with the most severe in males and most in females; The severity of OSAHS in patients with hypertension was statistically significant (x2, 7.440, P0.05), and the proportion of severe OSAHS patients with hypertension was higher. 2 the comprehensive evaluation of QOL-OSAHS scale was divided into dependent variables. The results of univariate analysis showed that the risk factors affecting the quality of life of patients with OSAHS were associated with hypertension (t = 2.976, p = 0.004, p < 0.05) and diabetes mellitus (t = 2.397, P = 2.397, P < 0.05). (P = 0.019, p0.05); The results of linear regression analysis showed that BMI and AHI had significant effects on the comprehensive scoring index. The lower the BMI and AHI value, the higher the comprehensive score. The results of linear regression analysis showed that BMI and AHI had a significant effect on the comprehensive score of QOL-OSAHS scale. Conclusion: the quality of life of patients with 1.OSAHS decreased to a certain extent. There is no significant difference in the severity of OSAHS between Korean and Han nationality in Yanbian Korean area and the quality of life of the patients, which may be interpenetrating with the living habits of Korean and Han nationalities in this area. 3. The evaluation of curative effect of OSAHS patients should not only focus on the changes of objective indexes such as the minimum blood oxygen saturation of AHI,BMI, but also pay attention to the assessment of the quality of life of OSAHS patients so as to understand the patients' physiology and psychology in a more comprehensive way. Social and other aspects of the functional state, strengthen the psychological intervention of patients, psychological guidance, improve the quality of life of OSAHS patients.
【学位授予单位】：延边大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R766

【相似文献】