主动脉夹层与阻塞性睡眠呼吸暂停综合征

发布时间：2019-04-17 13:24

【摘要】：目的:探讨主动脉夹层(AD)与阻塞性睡眠呼吸暂停综合征(OSAS)之间的关系。方法:使用STOPBang评分表及多导睡眠图检查,了解125例AD患者(AD组)中合并OSAS(OSAS组/非OSAS组)的比例并分析其发病特征。结果:AD组中患OSAS的比例明显高于对照组(41.6%∶20.8%,P0.01)。AD患者中OSAS组与非OSAS组比较显示,OSAS组患者的平均年龄较非OSAS组患者更小(P0.05),OSAS组男女比率明显较非OSAS高(P0.01),OSAS组BMI指数较非OSAS组更高(P0.05),两组AD破口数目和夹层是否存在螺旋形撕裂差异无统计学意义。多导睡眠图检查显示,OSAS组患者呼吸暂停低通气指数(AHI)和≥4%氧减指数(4%ODI)均明显高于非OSAS组(P0.01)。结论:AD患者更容易合并OSAS;合并OSAS的AD患者较非OSAS的AD患者往往年龄更小且肥胖,以男性为主;OSAS可能是相对年轻且肥胖的男性AD患者的重要危险因素。
[Abstract]:Objective: to investigate the relationship between aortic dissection (AD) and obstructive sleep apnea syndrome (OSAS). Methods: STOPBang score scale and polysomnography were used to study the ratio of OSAS (OSAS / non-OSAS in 125 patients with AD (AD group) and analyze the characteristics of the disease. Results: the proportion of patients with OSAS in AD group was significantly higher than that in control group (41.6% vs 20.8%, P0.01). The average age of OSAS group was significantly younger than that of non-OSAS group (P0.05) in AD patients compared with non-OSAS group. The ratio of male to female in OSAS group was significantly higher than that in non-OSAS group (P0.01). The BMI index in), OSAS group was higher than that in non-OSAS group (P0.05). There was no significant difference in the number of AD breaks and the existence of spiral tear in interlayer between the two groups. Polysomnography showed that apnea hypopnea index (AHI) and 鈮，

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