冠心病危险因素与睡眠呼吸暂停相关性分析

目的 :为探讨冠心病病人中发生睡眠呼吸暂停(sleepapnea ,SA)危险因素。方法 :对 178例经冠状动脉造影证实的男性冠心病病人及 5 2例非冠心病男性病人进行夜间多导睡眠监测。结果 :冠心病病人中SA的发生率较高 ,平均呼吸暂停 /低通气指数 (AHI)显著高于对照组 (P <0 .0 5 ) ;冠心病合并SA的病人体重指数(BMI)显著高于单纯冠心病病人 (P <0 .0 1) ;高脂血症及AHI≥ 2 0的SA与心肌梗死相关。结论 :应警惕冠心病病人发生SA。

Relativity Analysis on Risk Factors of Coronary Heart Disease and Sleep Apnea

Objective: to probe into the risk factors of coronary heart disease patients developing sleep apnea (SA). Methods: a total of 178 male coronary heart disease patients confirmed via coronary arteriography and another 52 cases of non-coronary-heart-disease male patients were selected and monitored by multiple-lead night sleep monitoring system. Results: coronary heart disease patients had higher incidence of SA. The mean apnea/hypo-ventilation index (AHI) of coronary heart disease patients were remarkably higher than that of control group (P<0.05). The body mass index (BMI) of patients with coronary heart disease complicated with SA was overtly higher than that of patients simply with coronary heart disease (P<0.01). SA patients with hyperlipidemia and with the AHI 20 or more were correlated with their myocardial infarction. Conclusion: one should pay attention to coronary heart disease patients to develop SA.