摘要
目的探讨引发女性阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的相关危险因素,并以此为基础分析目前的治疗现状。方法择取2015年2月—2017年1月来我院就诊的女性阻塞性睡眠呼吸暂停低通气综合征患者共52例作为此次研究的OSAHS组,另选择同期来院就诊的存在睡眠障碍的经多导睡眠监测排除OSAHS的患者为非OSAHS组,45例。观察并比较两组年龄、体质量指数等相关指标以及上述指标与最低脉氧饱和度(LSpO_2)、睡眠呼吸暂停低通气指数(AHI)之间的关系,并详细分析两组治疗现状。结果 OSAHS组的平均年龄、体质量指数等指标均高于非OSAHS组,P<0.05,差异具有统计学意义。两组均接受体位以及减肥等综合治疗,OSAHS组治疗后嗜睡评分(0.5±4.1)分,低于治疗前(3.6±5.3)分,P<0.05,差异具有统计学意义。结论年龄、体质量指数等指标是女性OSAHS的危险性因素,目前,临床上对于女性OSAHS患者的治疗并不充足,病情呈现逐渐恶化的趋势。
Objective To explore the related risk factors of female obstructive sleep apnea hypopnea syndrome （OSAHS）, and to analyze the current status of treatment. Methods From February 2015 to January 2017 in our hospital for treatment of women with obstructive sleep apnea hypopnea syndrome patients with a total of 52 cases as the study group OSAHS, the presence of sleep disorders by polysomnography exclusion for OSAHS patients in non OSAHS group, 45 cases. Comparison of two groups of age, body mass index and the related indexes of the observation index and the lowest pulse oxygen saturation （LSpO2）, sleep apnea hypopnea index （AHI） of the relationship between the treatment status of two groups and analyzed in detail. Results The mean age and body mass index of OSAHS group were higher than those of non-OSAHS group, P〈0,05, the difference was statistically significant. Two groups received postural and weight loss and other comprehensive treatment, OSAHS group after treatment sleepiness score （0.5±4.1） points, lower than before treatment （3.6±5.3） points, P〈0.05, the difference was statistically significant. Conclusion Age, body mass index and other indicators of female OSAHS risk factors, at present, the clinical treatment of female patients with OSAHS is not sufficient, the situation has shown a gradual deterioration trend.
作者
孙海峰
韩晋英
SUN Haifeng HAN Jinying(Respiration Department, Shunyi District Hospital of Beijing, Beijing 101300, China)
出处
《中国继续医学教育》
2017年第9期106-107,共2页
China Continuing Medical Education
