OSAHS患者体重指数、肺功能、血气分析、睡眠结构关系探讨  

Study on the relations between body mass index,lung function,blood gases analysis and sleep architecture changes in the patients with obstructive sleep apnea-hypopnea syndrome

作　　者：徐圣葆[1] 王恩举[2] 肖永龙[3] 

机构地区：[1]合肥铁路医院呼吸科,安徽合肥230011 [2]蚌埠医学院第二附属医院呼吸科,安徽蚌埠233040 [3]南京大学医学院附属医院呼吸科,江苏南京210000

出　　处：《蚌埠医学院学报》2005年第1期35-37,共3页Journal of Bengbu Medical College

摘　　要：目的 :探讨阻塞性睡眠呼吸暂停低通气综合征 (OSAHS)患者严重程度和体重指数关系以及OSAHS患者严重程度与日间肺功能和日间血气分析、睡眠结构紊乱的关系。方法 :对 38例有睡眠打鼾、白天嗜睡、记忆力减退患者应用多导睡眠监测仪进行整夜监测 ,并在日间予其行肺功能和血气分析。结果 :睡眠结构紊乱、微觉醒指数增加及睡眠转换指数增加与患者病情严重程度有关 ,白天肺功能、血气分析与患者病情无显著关系 ,但白天氧分压和体重指数有一定关系。结论 :OSAHS患者白天血气分析 ,肺功能与病情无相关关系 ,睡眠结构紊乱与病情有关 ,肥胖程度对OSAHS起预示作用。Objective:To probe into the relations between the severity of obstructive sleep apnea-hypopnea syndrome(OSAHS) and the body mass index,daytime lung function and blood gas analysis.Methods:Thirty-eight subjects who were diagnosed as sleep apnea-hypopnea syndrome by polysomnography(PSG) were studied.Their lung functions,blood gas analysis in the daytime were measured.Results:The sleep architecture changes,the increase of sleep shift number and total arousal number were significantly correlated to the degree of OSAHS.The daytime lung functions and blood gas analysis were not correlated to the degree of OSAHS.But the daytime arterial blood oxygen pressure was correlated to the body mass index.Conclusions:Sleep architecture changes are closely related to the degree of OSAHS.The daytime lung functions,blood gas analysis are not directly related to the degree of OSAHS.

关 键 词：阻塞性 睡眠呼吸暂停低通气综合征 血气分析 肺容量测定 

分 类 号：R563.8[医药卫生—呼吸系统]