睡眠呼吸暂停与体征的相关性研究

目的：研究睡眠呼吸暂停与体征的相关性，为临床治疗提供参考。方法选择我院2012年6月-2013年12月多导睡眠监测（PSG）确诊的睡眠呼吸暂停低通气综合征患者110例，对患者病史、颈围、体重指数（BHI）等相关指标进行比较，并采用 EPowrth 嗜睡评估表评价患者的嗜睡情况。结果肥胖指数、颈围、嗜睡评分在轻、中、重度患者中依次增高，差异具有统计学意义（P ﹤0.01）。三组患者夜间打鼾发生率均为100%。晨起头痛、疲倦等体征发生率在轻、中、重度患者中依次升高，差异具有统计学意义（P ﹤0.01）。结论不同严重程度 OSAHS 患者体征之间存在明显差异，因此可针对体征进行早期干预，阻止病情的进展。

Correlation between sleep apnea and signs

Objective：To investigate correlation between sleep apnea and signs and provide reference for clinical treat-ment. Methods：110 patients with sleep apnea syndrome confirmed by polysomnography（PSG）in our hospital from June 2012 to December 2013 were reviewed and the patient＇s history,neck circumference,body mass index（BHI）and other re-lated indicators were compared. The patient＇s lethargy was evaluated using sleepiness EPowrth evaluation. Results：The o-besity index,neck circumference,sleepiness scores of moderate patients were significantly higher than those of mild pa-tients. The obesity index,neck circumference and sleepiness scores were significantly higher than those of the mild and moderate groups（P ﹤ 0. 05）. The incidence of snoring at night of three groups of patients was 100%（P ＆gt; 0. 05）. The swollen tonsils degree Ⅲ,morning headaches,fatigue and other symptoms of moderate group were significantly higher than those of the mild group,signs of severe group were significantly higher than the those in the incidence of mild and moderate groups（P ﹤ 0. 05）Conclusion：There are obvious differences in the severity of symptoms in patients with OSAHS,which can be the signs of early intervention to prevent disease.