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OSAHS与气道高反应性的相关性分析
引用本文:石平,熊小敏,曾茄,赵世财,马兵,杨萍. OSAHS与气道高反应性的相关性分析[J]. 中国呼吸与危重监护杂志, 2010, 9(3): 253-255
作者姓名:石平  熊小敏  曾茄  赵世财  马兵  杨萍
作者单位:广元市中心医院呼吸内科,四川广元,628000
摘    要:目的探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)与气道高反应性(AHR)的关系。方法纳入197例可疑OSAHS患者进行整夜多导睡眠(PSG)监测和基础肺功能测定,同时进行支气管舒张试验或激发试验以测定气流受限可逆性和气道反应性(用PD20-FEV1表示)。分析呼吸暂停低通气指数(AHI)与AHR的相关性。结果 OSAHS患者117例,其中3例舒张试验阳性,25例激发试验阳性;非OSAHS患者80例,其中7例存在AHR。OSAHS患者AHR发病率显著高于非OSAHS患者(23.9%比8.8%,P0.01)。OSAHS合并AHR患者的AHI值高于OSAHS非AHR患者[(30.3±5.1)次/h比(23.7±2.4)次/h,P0.01)。25例患者存在AHR的OSAHS患者中,PD20-FEV1为(0.98±0.24)mg,AHI为(31.8±4.2)次/h,两者之间呈正相关关系(r=0.62,P0.05)。结论 OSAHS患者发生AHR的危险性增加。

关 键 词:阻塞性睡眠呼吸暂停低通气综合征  气道反应性

Relationship Between Obstructive Sleep Apnea Hypopnea Syndrome and Airway Hyperresponsiveness
SHI Ping,XIONG Xiao-min,ZENG Jia,ZHAO Shi-cai,MA Bing,YANG Ping. Relationship Between Obstructive Sleep Apnea Hypopnea Syndrome and Airway Hyperresponsiveness[J]. Chinese Journal of Respiratory and Critical Care Medicine, 2010, 9(3): 253-255
Authors:SHI Ping  XIONG Xiao-min  ZENG Jia  ZHAO Shi-cai  MA Bing  YANG Ping
Affiliation:SHI Ping,XIONG Xiao-min,ZENG Jia,ZHAO Shi-cai,MA Bing,YANG Ping.Department of Respiratory Medicine,Central Hospital of Guangyuan City.Guangyuan,Sichuan,628000,China
Abstract:Objective To explore the relationship between obstructive sleep apnea hypopnea syndrome (OSAHS) and airway hyperresponsiveness (AHR).Methods 197 subjects suspected for OSAHS were enrolled in the study.They were all performed overnight polysomnogram (PSG) monitoring and lung function test.Acoording to the results of FEV1%pred,they were performed bronchial provocation test(BPT) or brochial dilation test(BDT).The relation between apnea hypopnea index (AHI) and the degree of airway hyperresponsiveness (AHR,expr...
Keywords:Obstructive sleep apnea hypopnea syndrome  Airway responsiveness  
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