心血管疾病合并阻塞性睡眠呼吸暂停低通气综合征临床分析

目的探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)与伴随心血管疾病的临床关系,分析临床漏诊和治疗不规范的原因,以引起临床重视。方法 69例以心血管病住院患者进行睡眠呼吸检测,确诊为OSAHS,根据睡眠呼吸暂停低通气指数(AHI)将病人分为轻、中、重度3组。对患者的疾病认知情况和接受规范治疗现状进行调查分析。结果本组69例OSAHS患者,合并2种疾病54例(78.26%),合并3种疾病36例(58.17%)。合并2种疾病3组间比较,随着OSAHS的加重合并2种疾病患者明显增多,差异有统计学意义(χ2=12.99,P0.01)。在合并3种疾病组中,重度组明显增多,与轻度组比较差异有统计学意义(χ2=5.38,P0.05)。各组患者对OSAHS的知晓率为4.35%,治疗率为2.99%。结论 OSAHS常同时合并多种心血管疾病,随着OSAHS程度加重合并疾病种类增多,严重影响人类的健康。目前多数患者缺乏对该病的认识,临床漏诊率高,治疗率低。应重视对该病危害性的宣传,积极推广OSAHS的规范治疗。

Cardiovascular diseases complicating obstructive sleep apnea hypopnea syndrome

Objective To investigate the clinical relationship between obstructive sleep apnea hypopnea syndrome （OSAHS） and combined cardiovascular diseases, and analyze the causes of misdiagnosis and non-standard treatment for drawing attention to in clinic. Methods The patients （n=69） were diagnosed they had OSAHS after sleep apnea detection, and then divided into mild group, medium group and severe group according to apnea hypopnea index （AHI）. A survey on current situation of disease cognition and standardized treatment was carried out. Results Among 69 patients, there were 54 （78.26%） with 2 complicating diseases, and 36 （58.17%） with 3 complicating diseases. The comparison in 2 complicating diseases among 3 groups showed that as the exacerbating of OSAHS, the cases with 2 complicating diseases increased （χ2=12.99, P〈0.01）. The cases with 3 complicating diseases increased significantly in severe group compared with mild group （χ2=5.38, P〈0.05）. The patients in all groups did not know that OSAHS is a high harmful disease, and awareness rate was 4.35%and rate of treatment was 2.99%. Conclusion OSAHS is commonly accompanied by many cardiovascular diseases, and as OSAHS exacerbates, the types of complicating diseases will increase. At present the most patients are short of cognition on OSAHS, misdiagnosed rate is high and rate of treatment is low.