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快动眼睡眠相关阻塞性睡眠呼吸暂停低通气综合征的睡眠监测特点
引用本文:郑雪松,后农生,郝锐. 快动眼睡眠相关阻塞性睡眠呼吸暂停低通气综合征的睡眠监测特点[J]. 中国耳鼻咽喉头颈外科, 2010, 17(10): 543-545
作者姓名:郑雪松  后农生  郝锐
作者单位:北华大学附属医院耳鼻咽喉头颈外科,吉林吉林,132011;北华大学附属医院感染科,吉林吉林,132011
摘    要:
目的探讨与快动眼(rapid eye movement,REM)睡眠期密切相关的阻塞性睡眠呼吸暂停低通气综合征(OSAHS),即REMOSAHS患者的临床及睡眠监测特点。方法回顾在我院进行多道睡眠图(PSG)监测诊断为OSAHS的患者,根据REM睡眠期呼吸暂停低通气指数(AHIREM)和慢动眼睡眠期(non-rapid eye movement,NREM)呼吸暂停低通气指数(AHINREM)将其分为两组,AHIREM/AHINREM〉2为REMOSAHS组,AHIREM/AHINREM≤2为NREMOSAHS组,比较REMOSAHS与NREMOSAHS临床睡眠监测指标的差异。结果 159例OSAHS患者中,REMOSAHS占19.5%,其中男性占58.1%,女性占41.9%;REMOSAHS组与NREMOSAHS组年龄比较差异具有显著性[(34.9±13.5)岁vs(39.6±9.6)岁];两组体块指数(BMI)比较,差异无显著性[(28.1±2.5)kg/m2vs(28.8±3.4)kg/m2];两组总睡眠呼吸暂停低通气指数(AHITST)比较,差异具有显著性[(32.2±29.8)次/hvs(53.0±27.5)次/h]。结论 REMOSAHS女性与男性发病率相近,且年龄较轻,病情较轻。

关 键 词:REM深眠状态  睡眠呼吸暂停  阻塞性  多道睡眠描记术

Polysomnographic features of obstructive sleep apnea and hypopnea syndrome associated with rapid eye movement
ZHENG Xuesong,HOU Nongsheng,HAO Rui. Polysomnographic features of obstructive sleep apnea and hypopnea syndrome associated with rapid eye movement[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2010, 17(10): 543-545
Authors:ZHENG Xuesong  HOU Nongsheng  HAO Rui
Affiliation:ZHENG Xuesong1,HOU Nongsheng1,HAO Rui2(1 Department of Otolaryngology Head and Neck Surgery,2 Department of Infection,Affiliated Hospital to Beihua University,Jilin,132011,China)
Abstract:
OBJECTIVE To study the clinical and polysomnograph(PSG)characteristics of patients with REM-related obstructive sleep apnea and hypopnea syndrome(REM OSAHS).METHODS 159 patients with OSAHS were diagnosed with overnight PSG.REM OSAHS was defined as an AHIREM/AHINREM ratio2;NREM OSAHS was defined as an AHIREM/AHINREM ratio≤2.The clinical and PSG results were compared between the two groups.RESULTS 19.5% of cases fulfilled the REM OSAHS criteria with 58.1% in men and 41.9% in women.There were significant differences between patients with REM OSAHS and NREM OSAHS in age [(34.9±13.5)vs(39.6±9.6)years] and AHI [(32.2±29.8)vs(53.0±27.5)times/h].REM OSAHS patients were younger and had lower AHI.No difference was found in BMI [(28.1±2.5)vs(28.8±3.4)kg/m2].CONCLUSION There was an equal incidence of REM OSAHS in women and men.The patients with REM OSAHS were younger and less severe.
Keywords:REM Sleep Parasomnias  Sleep Apnea  Obstructive  Polysomnography  
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