| 阻塞性睡眠呼吸暂停综合征患者心律失常的临床分析 |
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| 引用本文： | 黄文,吕芳芳,史继红,孙全格.阻塞性睡眠呼吸暂停综合征患者心律失常的临床分析[J].山东医大基础医学院学报,2004,18(3):140-142. |
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| 作者姓名： | 黄文 吕芳芳 史继红 孙全格 |
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| 作者单位： | 武警山东总队医院心内科，武警山东总队医院心内科，山东大学卫生部耳鼻喉科学重点实验室，武警山东总队医院心内科 山东济南250014，山东济南250014，山东济南250014 |
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| 摘 要： | 目的 :探讨阻塞性睡眠呼吸暂停综合征 (obstructivesleepapneasyndrome ,OSAS)与心律失常的关系。方法 :对经多导睡眠仪监测 (Polysomnography ,PSG)确诊的OSAS 4 9例行 2 4h动态心电图 (Holter)观察 ,同时选择 2 0例单纯鼾症患者作为对照组。结果 :OSAS组患者体重、呼吸暂停低通气指数 (apneahypopneaindex ,AHI)和最低血氧饱和度 (lowestsaturation ,LSaO2 )与对照组差异有显著性 (P<0 .0 5 ,P <0 .0 1) ;OSAS组心律失常发生率为 5 1.11% ,并且随OSAS病情加重 ,心律失常发生率升高。结论 :OSAS患者心律失常的发生与呼吸暂停低通气指数及低氧血症密切相关
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| 关 键 词： | 睡眠呼吸暂停 阻塞性 心律失常 多导睡眠描记术 心电描记术 Holter |
Clinical analysis of cardiac arrhythmia in patients with obstructive sleep syndrome |
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| Abstract: | Objective: To explore the relationship between obstructive sleep apnea syndrome(OSAS) and arrhythmia. Method:49 patients with OSAS and 20 simple snores who were confirmed by polysomnography(PSG)and were analyzed by 24 hours Holter. Result: The weight,apnea hypopnea index(AHI) and lowest saturation(LSaO2) in OSAS group were significantly higher than those of the control group. The incidence of cardiac arrhythmia in OSAS group were 51.11% and were increased with the severity of OSAS. Conclusion: The occurrence of cardiac arrhythmia in patients with OSAS is closely related with AHI and nocturnal hypoxemia. |
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| Keywords: | Sleep apnea obstructive Arrhythmia Polysomnography Electrocardiognaply Holter |
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