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阻塞性睡眠呼吸暂停综合征患者日间血氧水平与夜间低氧的关系
引用本文:王彦,曹洁,陈宝元,郭美南,董丽霞,史正. 阻塞性睡眠呼吸暂停综合征患者日间血氧水平与夜间低氧的关系[J]. 天津医药, 2002, 30(3): 143-145
作者姓名:王彦  曹洁  陈宝元  郭美南  董丽霞  史正
作者单位:1. 300052,天津医科大学总医院
2. 天津市河东区卫生局
摘    要:目的:探讨阻塞性睡眠呼吸暂停综合征(OSAS)患者日间清醒状态下的血氧变化及其与夜间睡眠低氧的关系。方法:观察12例单纯鼾症患者和67例(轻中度29例,重度38例)经多导睡眠仪监测诊断为OSAS的患者,在行夜间多导睡眠监测基础上的日间动脉血气分析,结果:发现重度OSAS患者日间动脉血氧分压降低,且随着呼吸紊乱指数(AHI)增加,与夜间睡眠最低血氧饱和度呈明显的正相关(r=0.40,P<0.005)。结论:重度OSAS患者日间清醒状态下也存在着不同程度的缺氧,月缺氧程度与OSAS病情相关。日间血氧越低,夜间低氧血症越重,对机体的危害也越大。

关 键 词:睡眠呼吸暂停综合征 血气分析 低氧 病因 鼾症

Relationship between Daytime Blood Oxygen Level and Night Hypoxemia in Patients with Obstructive Apnea Syndrome
WANG Yan,CAO Jie,CHEN Baoyuan,et al Tianjin Medical University Hospital. Relationship between Daytime Blood Oxygen Level and Night Hypoxemia in Patients with Obstructive Apnea Syndrome[J]. Tianjin Medical Journal, 2002, 30(3): 143-145
Authors:WANG Yan  CAO Jie  CHEN Baoyuan  et al Tianjin Medical University Hospital
Affiliation:WANG Yan,CAO Jie,CHEN Baoyuan,et al Tianjin Medical University Hospital 300052
Abstract:Objective: To find out the relationship between daytime blood oxygen level and night hypoxemia in patients with ob-stractive apnca syndrome (OSAS). Meyhods: Daytime arterial blood gas analysis was measured in 12 snoring patients and 67 patients with OSAS (slight moderate: 29, severe: 38). Results: The daytime arterial PaO2 decreased in severe OSAS.There was a significant positive correlation between AHI index and minimum SaQ during sleep at night (r = 0.40, P< 0.005). Conclusion: The degree of hypoxemia is correlated with OSAS state. The lower the blood oxygen in the daytime, the more sevious is hypoxemia at night.
Keywords:sleep apnea syndromes blood gas analysis anoxia
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