睡眠呼吸暂停低通气综合征6年临床趋势分析

目的 探讨睡眠呼吸暂停低通气综合征(sleep apnea-hyperpnoea syndrome,SAHS)患者的临床流行病学特征,以及危险因素和合并症,进一步提高临床诊治水平.方法 回顾性分析宁夏医学院附属医院从2002年1月至2007年12月住院诊断为SAHS的466例患者的临床资料及睡眠监测指标.结果 2002年住院人数56例,后逐年递增至2007年91例.在住院患者中,男、女比例为6:1,高发的年龄段在40～49岁.SAHS合并高血压占39.0%,合并高脂血症占24.6%,合并糖尿病占17.6%,合并冠状动脉粥样硬化性心脏病占14.0%,合并脑卒中占4.9%.SAHS患者出现心脑血管等合并症占总数的80.7%.结论 SAHS住院患者人数呈逐年上升的趋势.肥胖、性别是SAHS的危险因素.SAHS患者易出现心脑系统合并症.

Clinical-trend analysis of in-patients of sleep apnea-hyperpnoea syndrome through 6 years

Objective To discuss the characteristics of clinical epidemiology of sleep apnea-hyperpnoea syndrome(SAHS) in-patients in order to investigate risk factors and complications,and improve the clinical diagnosis and treatment. Methods Retrospectively analysis was performed on the clinical information and sleep parameters in 466 SAHS patients were detected from 2002 to 2007 in the affiliated hospital of Ningxia Medical College. Results The number of in-patients was 54 in 2002,gradually increased to 91 cases in 2007. In-patients of SAHS,the male to female ratio was 6 : 1 ,the peak incidence in age of 40-49 years old. There were 39.0% SAHS patients with hypertension, 24.6% with hyperlipidemia, 17.6% with diabetes, 14.0% with coronary heart disease,and 4.9 % with stroke. SAHS patients complicated with cardio-cerebral vascular disease,diabetes,and hyperlipidemia were up to 80.7%. Conclusions The trend of in-patients with SAHS is ascending. Obesity and gender are main risk factors. SAHS patients are susceptible to combine with eardio-cerebral vascular diseases and metabolic diseases.