星状神经节阻滞治疗对OSAS合并高血压患者的效果观察

发布时间：2018-02-11 17:35

本文关键词： 星状神经节神经传导阻滞睡眠呼吸暂停阻塞性高血压　出处：《重庆医学》2017年04期 　论文类型：期刊论文

【摘要】：目的观察星状神经节阻滞(SGB)对阻塞性睡眠呼吸暂停综合征(OSAS)合并高血压患者睡眠呼吸和血压控制情况的疗效。方法将2010年6月至2014年6月入住该院康复医学科及呼吸内科的OSAS合并高血压患者100例,按入院顺序分入常规组和试验组,常规组给予降压药物、生活习惯调整、持续气道正压通气(CPAP)等治疗,试验组在常规治疗的基础上同时给予SGB进行干预。采用t检验分别比较入院时和干预一个疗程后患者的最低血氧饱和度(SaO2)、呼吸暂停低通气指数(AHI)和24h平均动脉压控制情况,采用χ2检验比较两组患者的血压控制率。结果与常规组相比,试验组AHI、最低动脉血氧饱和度(SaO2)及24h平均动脉压均有明显改善,差异有统计学意义(P0.05)。结论 SGB作为一种新的治疗方法,不仅能够改善OSAS患者临床症状,而且使该类患者血压得到较好的控制。
[Abstract]:Objective to observe the effect of stellate ganglion block (SGB) on sleep respiration and blood pressure control in patients with obstructive sleep apnea syndrome (OSAS) complicated with hypertension. 100 cases of OSAS complicated with hypertension in Department of Respiratory Medicine, They were divided into routine group and test group according to the order of admission. The routine group was treated with antihypertensive drugs, lifestyle adjustment, CPAP (continuous positive airway pressure ventilation), and so on. The trial group was treated with SGB on the basis of routine therapy. T test was used to compare the lowest oxygen saturation (SAO _ 2), apnea hypopnea index (AHI) and 24-hour mean arterial pressure control in patients at admission and after one course of intervention. Results compared with the routine group, AHI, SAO _ 2 (minimum arterial oxygen saturation) and mean arterial pressure in 24 hours were significantly improved in the trial group, compared with the control group, the control rate of blood pressure in the two groups was compared with that in the control group by 蠂 ~ 2 test. Conclusion as a new treatment, SGB can not only improve the clinical symptoms of patients with OSAS, but also control their blood pressure better.
【作者单位】：郑州大学第一附属医院康复医学科;
【基金】：河南省教育厅科技攻关项目(14A320024)
【分类号】：R544.1;R766

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