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阻塞性睡眠呼吸暂停综合征患者心律失常的临床分析
引用本文:张映松,姚青,张佳思.阻塞性睡眠呼吸暂停综合征患者心律失常的临床分析[J].重庆医学,2006,35(19):1768-1769.
作者姓名:张映松  姚青  张佳思
作者单位:1. 广东省深圳市南山区西丽人民医院内科,518055
2. 第三军医大学西南医院心内科,重庆,400038
3. 第三军医大学西南医院血液科,重庆,400038
摘    要:目的 探讨阻塞性睡眠呼吸暂停综合征(obstructive sleep apnea syndrome,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 69例患者行24h动态心电图(Holter)监测,同时选择21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(apnea hypopnea index,AHI)和最低血氧饱和度(lowest saturation,LSaO2)与对照组差异有统计学意义(P<0.05、P<0.01);OSAS组心律失常发生率为62.32%,并且随OSAS病情加重,心律失常发生率升高、时间延长及恶性程度加重.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.

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
文章编号:1671-8348(2006)19-1768-02

Clinical analysis of cardiac arrhythmia in patients with obstructive sleep syndrome
ZHANG Ying-song,YAO Qing,ZHANG Jia-shi.Clinical analysis of cardiac arrhythmia in patients with obstructive sleep syndrome[J].Chongqing Medical Journal,2006,35(19):1768-1769.
Authors:ZHANG Ying-song  YAO Qing  ZHANG Jia-shi
Abstract:Objective To explore the relationship between obstructive sleep apnea syndrome(OSAS) and arrhythmia.Methods Sixty-nine patients with OSAS and 21 simple snores confirmed by polysomnography(PSG) were analyzed by 24h Holter.Results The weight,apnea hypopnea index(AHI)and lowest saturation(LSaO_2) in OSAS group were significantly higher than those of the control group.The incidence of cardiac arrhythmia in OSAS group was 62.32% and was increased with the severity of OSAS.Conclusion The occurrence and degree of cardiac arrhythmia in patients with OSAS is closely related with AHI and nocturnal hypoxemia.
Keywords:sleep apnea  obstructive  arrhythmia  polysomnography  electrocardiognaply  holter
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