颈围、腰围与男性阻塞性睡眠呼吸暂停低通气综合征患病程度的相关性

目的 初步研究探讨颈围、腰围与男性阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者病情严重程度的相关性。方法 回顾性分析行多导睡眠监测确诊为OSAHS的男性患者178例的临床资料, 就颈围、腰围、体质量指数(BMI)、年龄、性别与低通气指数(AHI)、最低血氧饱和度(LSaO₂)、占总睡眠事件百分比( TS90%)、爱泼沃斯嗜睡量表(ESS)之间的关系。结果 ①患者BMI与多导睡眠监测((Polysomnography, PSG)指标AHI、LSaO₂、TS90%、ESS无相关性;年龄、颈围和腰围与AHI、TS90%、ESS呈正相关, 与LSaO₂呈负相关;②多元逐步回归分析, 结果显示颈围、腰围与AHI、TS90%及LSaO₂均相关。结论 男性OSAHS患者颈围、腰围与OSAHS患者的病情严重程度相关。

Relationship of neck circumference,waist circumference and extent of obstructive sleep apnea syndrome in males

Objective To investigate the relationship between neck circumference, waist circumference and extent of obstructive sleep apnea syndrome(OSAHS) in males. Methods Clinical data of 200 OSAHS patients, diagnosed by polysomnography from January 2013 to July 2013, were reviewed. The relationship between neck circumference, waist circumference, BMI, age, sex, and AHI, LSaO₂, TS90%, ESS were analyzed. Results ① No association was found between age, BMI, AHI, LSaO₂ and TS90%, ESS. Neck circumference and waist circumference were positively correlated with AHI, TS90% and ESS, but negatively correlated with LSaO₂. ② Stepwise multiple regression analysis showed both circumferences were associated with AHI, TS90% and LSaO₂. Conclusion Neck circumference and waist circumference are associated with severity of OSAHS in male patients.