| OSAHS呼吸事件发生与睡眠时相、体位的关系 |
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| 引用本文： | 陈曦,孙玉梅,孙建军. OSAHS呼吸事件发生与睡眠时相、体位的关系[J]. 临床耳鼻咽喉头颈外科杂志, 2012, 0(17): 774-776 |
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| 作者姓名： | 陈曦 孙玉梅 孙建军 |
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| 作者单位： | 海军总医院全军耳鼻咽喉头颈外科中心 |
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| 摘 要： | 目的:研究OSAHS患者呼吸事件发生与睡眠时相、体位的关系。方法:经多导睡眠监测确诊的100例OSAHS患者,按AHI分为轻度(22例)、中度(17例)、重度(61例)3组,分别比较各组快动眼睡眠期(REM)AHI、非快动眼睡眠期(NREM)AHI、仰卧位AHI、非仰卧位AHI等主要参数,REM相关的OSAHS定义为REM期AHI/NREM期AHI≥2,体位相关的OSAHS定义为仰卧位AHI/非仰卧位AHI≥2。结果:轻、中度组多为体位相关的OSAHS,分别为90.91%(20/22)和82.35%(14/17),显著大于重度组的31.15%(19/61)(P<0.05)。轻度组40.91%(9/22)、中度组23.53%(4/17)的患者为REM相关的OSAHS,明显大于重度组的4.92%(3/61)(P<0.05)。轻、中度组仰卧位AHI与AHI呈正相关(r=0.491、0.771,均P<0.05);重度组非仰卧位AHI与AHI、LSaO2呈显著相关性(r=-0.424、0.527,均P<0.01);重度组NREM AHI与LSaO2呈正相关(r=0.470,P<0.01)。结论:轻、中度OSAHS患者病情程度明显受睡眠时体位的影响,而重度OSAHS患者仰卧位和REM的时间明显少于轻、中度患者。
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| 关 键 词： | 睡眠呼吸暂停低通气综合征,阻塞性 睡眠时相 睡眠体位 |
Study of the relationship between sleep body posture,sleep phase and severity of obstructive sleep apnea-hypopnea syndrome |
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| CHEN Xi,SUN Yumei,SUN Jianjun. Study of the relationship between sleep body posture,sleep phase and severity of obstructive sleep apnea-hypopnea syndrome[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2012, 0(17): 774-776 |
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| Authors: | CHEN Xi SUN Yumei SUN Jianjun |
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| Affiliation: | (Department of Otolaryngology-Head and Neck Surgery,Navy General Hospital,Beijing,100048,China) |
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| Abstract: | Objective:To study the clinical characteristics and relationship between sleep body posture,sleep phase and occurance in patients with various degree of obstructive sleep apnea-hypopnea syndrome(OSAHS).Method:Polysomnography recordings of 100 adults with OSAHS were divided into 3 groups according to AHI:mild with apnea-hypopnea indices(5≤AHI≤15),moderate(15
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| Keywords: | sleep apnea-hypopnea syndrome,obstructive sleep phase sleep body posture |
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