老年阻塞性睡眠呼吸暂停低通气综合征患者睡眠监测及治疗特点

目的 探讨老年阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apnea-hypopnea syndrome, OSAHS）患者的多导睡眠诊断及治疗特点。方法 对比分析87例老年（老年组）和296例中青年（中青年组）OSAHS患者的多导睡眠图，并对87例老年患者用经鼻持续正压通气和口腔矫治器（oral appliance, OA）治疗。结果 老年患者呼吸暂停低通气指数(apnea-hypopnea index, AHI)［(25.97±18.23)次/h］低于中青年组患者［(46.43±27.26)次/h］(P<0.001)，而老年组最低血氧饱和度［（78.43±10.95）］高于中青年组［（70.68±12.49）］（P<0.001）。非快速动眼睡眠各期在两组间差异无统计学意义。老年组快速动眼睡眠期［（13.08±7.37%）］明显长于中青年组［（9.78±7.23）%］（P<0.001）。结论 老年OSAHS患者较中青年OSAHS患者病情相对较轻，对睡眠的影响除REM期外两组均无明显差异。老年OSAHS主要选择无创治疗。

Polysomnography analyses and treatment of obstructive sleep apnea-hypopnea syndrome in senile patients

Objective To analyze the characteristics of polysomnography and treatment in senile patients with obstructive sleep apnea-hypopnea syndrome. Method 32-guide polysomnography was performed on 87 senile patients and 296 middle-juvenile patients with obstructive sleep apnea-hypopnea syndrome, and the results were analyzed by Polysmith. Also the 87 senile patients were treated with continuous positive airway pressure(CPAP)and an oral appliance (OA). ResultsThe AHI was (25.97±18.23)/h in the senile patients and (46.43±27.26)/h in the middle-juvenile patients. The mean value of the NREM stage between the two groups was similar. The REM of the senile patients was higher than that of the middle-juvenile patients［（13.08±7.37）% vs （9.78±7.23）％ ］. Conclusion Senile patients with obstructive sleep apnea-hypopnea syndrome should first select non-invasive treatment.