初诊为冠心病的阻塞性睡眠呼吸暂停低通气综合征45例患者的临床分析

目的 提高对阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea-hypopneasyndrome,OSAHS)的认识,减少误诊和漏诊.方法 选择我院心内科收治的胸痛、胸闷的打鼾患者45例,经冠状动脉造影排除了冠状动脉粥样硬化性心脏病后,通过睡眠呼吸监测确诊为OSAHS,结合临床进行回顾性分析.结果 本组45例OSAHS患者经睡眠监测诊断,轻度OSAHS 17例,中度OSAHS 8例,重度OSAHS 20例.结论 OSAHS患者并不少见.对于夜间憋醒后的胸痛、胸闷、肥胖患者,如存在习惯性打鼾、白天嗜睡应考虑到OSAHS的可能.

Clinical analysis of 45 cases of obstructive sleep apnea-hypopnea syndrome who were first diagnosed coronary heart disease

Objective To elevate the understanding of obstructive sleep apnea-hypopnea syndrome (OSAHS) and improve its diagnosis. Methods Forty-five cases admitted to the department were analyzed. Whole-night sleep monitoring was performed for 45 patients without coronary heart disease(coronary artery angiography was normal). Results Forty-five cases of OSAHS were diagnosed,among which mild OSAHS (5/h≤AHI＜20/h) was 17 cases,moderate OSAHS was 8 cases (20/h≤AHI＜40/h,), severe OSAHS was 20 cases (AHI≥40/h). Conclusions OSAHS is not uncommon. The diagnosis should be considered when chest pain, oppressive chest occur after nocturnal awakening for individuals with habitual snoring and daytime excessive sleepiness.