阻塞性睡眠呼吸暂停低通气综合征111例临床分析

目的 探讨颈围、腰围、臀围、腰臀比、体质量指数(BMI)、Epworth评分等与阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的发病和严重程度的相关关系.方法 选取111例确诊的OSAHS病例,全部病例均进行了夜间多导睡眠监测并记录患者的身体参数(包括身高、体质量、三围等),对其颈围、腰围、臀围、腰臀比、BMI、ESS评分与睡眠呼吸紊乱指数(AHI)进行统计学分析.结果 颈围、腰围、腰臀比、BMI与AHI在统计学上均有相关关系(P＜0.01),臀围与AHI也有相关关系(P＜0.05),ESS评分与AHI无相关关系(P＞0.05);不同程度的OSAHS患者颈围、腰围、臀围、BMI的均值间差别有显著意义(P＜0.01),臀围、ESS评分则与不同程度的OSAHS患者无明显差异(P＞0.05).结论 颈围、腰围、臀围、腰臀比、BMI与AHI有良好的相关性,临床上可作为OSAHS患者的简便、可靠的监测指标.

Study of the Clinical Parameters in One Hundred and Eleven Patients of Obstructive Sleep Apnea-hypopnea Syndrome

Objective To explore the possible correlation of the clinical parameters(such as neck circumference,waist circumference,Hipc,WHR,BMI,ESS scores)with the severity of obstructive sleep apnea/hypopnea syndrome(OSAHS).Methods There were 111 patients with diagnosis of OSAHS.All patients underwent polysomnography and the physical examination.The meatured body parameters and AHI were analyzed.Results A statistically significant correlation between neck circumference,waist circumference,Hipc,WHR,BMI with the AHI wa...