持续正压通气治疗急性脑梗死合并OSAHS疗效研究

目的分析持续正压通气治疗急性脑梗死合并阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的疗效，为临床更好地治疗该病提供指导性意见。方法OSAttS患者78例，分为对照组37例和治疗组41例，进行夜间多导睡眠监测。结果两组患者治疗前后NIHSS、收缩压、舒张压、AHI和最低血氧饱和度比较，差异有统计学意义（P〈0．05）；治疗组治疗后NIHSS、收缩压、舒张压、AHI和最低血氧饱和度的改善程度明显优于对照组，差异有统计学意义（P〈0．05）。结论持续正压通气可以有效改善患者NIHSS、收缩压、舒张压、AHI和最低血氧饱和度。

Efficacy of Continuous Positive Airway Pressure in the Treatment of Acute Cerebral Infarction with Obstructive Sleep Apnea-hypopnea Syndrome

Objective To analyze the effieacy of continuous positive airway pressure （CPAP） in the treatment of aente cerebral in- farction with obstructive sleep apnea-hypopnea syndrome （OSAHS）,and provide opinions for better clinical treatment of this disease. Methods Seventy-eight patients with OSAHS were divided into control group （37 cases） and the treatment group （41 cases） for night polysomnography. Results The differences of NIHSS,systolic blood pressure,diastolic blood pressure,AHI and lowest oxygen saturation of two groups before and after treatment were statistically significant （P〈0.05）;After treatment,improvement degrees of NIHSS, systolic blood pressure, diastolic blood pressure,AHl and lowest oxygen saturation of the treatment group were significantly better than those of the control group,and the differences were statistically significant （P〈0.05）. Conclusion CPAP can effectively improve NIHSS, systolic blood pressure, diastolic blood pressure, AH1 and lowest oxygen saturation of OSAHS patients.