阻塞性睡眠呼吸暂停综合征伴血压升高患者血压、血糖及血脂控制情况

目的调查阻塞性睡眠呼吸暂停综合征(OSAS)伴血压升高患者在不同状态下血压、血糖、血脂控制情况。方法对57例OSAS合并高血压或正常高值患者的血压、血糖、血脂控制水平进行调查和随访,并与患者住院时的血压、血糖、血脂数值进行比较分析。同时对行腭咽成形术治疗的高血压患者手术前后的血压控制情况进行分析。结果 (1)高血压组调查时收缩压(SBP),舒张压(DBP)与住院时SBP及DBP相比明显降低(P<0.05);空腹血糖(FBG)、总胆固醇(TC)、三酰甘油(TG)调查时与住院时相比无差异(P>0.05)。(2)正常高值组调查时SBP、DBP、FBG、TC均较住院时增高(P<0.05);调查时TG与住院时相比无差异(P>0.05)。(3)合并高血压且行OSAS手术治疗的患者手术后SBP、DBP与手术前SBP、DBP比较明显降低(P<0.05)。结论 OSAS合并高血压患者出院后血压得到控制,但血糖和血脂有增高趋势;血压正常高值患者出院后血压、血糖、血脂均有增高趋势;OSAS伴高血压患者手术后血压水平得到改善。

Blood pressure,blood glucose and blood lipid controlling of OSAS patients with hypertension or high-normal blood pressure

Objective To investigate blood pressure,blood glucose and blood lipid controlling status of OSAS patients with hypertension or high-normal value.Methods 57 patients was surveyed by telephone and divided into hypertension group and high-normal group.The data of post-discharge of blood pressure,fasting blood glucose and blood lipid was obtained.the data of blood pressure,blood glucose and blood lipid in patients＇ medical record was collected.in and out-hospital data of each group was compared and analyzed.Meanwhile,the blood pressure controlling of hypertension patients with UPPP treatment was analyzed.Results Compared with data of medical record,SBP,DBP of hypertension group significant reduced （P〈0.05）.Fasting blood glucose,total cholesterol （TC） triglyceride （TG） had no significant improvement（P〉0.05）.In high-normal group,SBP,DBP,FBG and TC increased,and the increase had statistically significant （P〈0.05）.Comparing with data of medical record,TG had no significant difference （P〉0.05）.SBP and DBP after and before UPPP treatment showed significant improvement （P〉0.05）.Conclusions Control of blood pressure was well in post-discharge OSAS patients with hypertension,but not the controlling status of blood glucose and blood lipid.In OSAS patients with high-normal blood pressure,blood pressure,blood glucose and blood lipid had a tendency to increase.In post-operative patients with OSAS,control of blood pressure had significant improvement.