睡眠呼吸紊乱与冠心病的相关危险因素分析及护理干预  

The Analysis of Relationship Between Coronary Artery Disease and Sleep-disordered Breathing and Nursing Intervention

作　　者：李帼英[1] 季鲜[1] 王琳娜[1] 

机构地区：[1]中国人民解放军总医院心研所,北京100853

出　　处：《现代护理》2005年第14期1094-1095,共2页Modern Nursing

摘　　要：目的探讨睡眠呼吸紊乱与冠心病的相关危险因素,为护理提供指导。方法分析45例冠心病伴睡眠呼吸紊乱患者和51例冠心病不伴睡眠呼吸紊乱患者的一般状况及相关危险因素。结果冠心病合并睡眠呼吸紊乱组的平均RDI、年龄、体重指数、肥胖的发生率均明显高于冠心病不合并睡眠呼吸紊乱组(P<0.05)。中度(RDI≥20)以上的睡眠呼吸紊乱(OR2.4:CI1.5～5.1;P<0.05)与心肌梗死独立相关。结论冠心病伴睡眠呼吸紊乱者应提高对本病的危险意识;提倡健康的生活方式;重视社区中的老年患者的照料。Objective To analysis relative risk factors between coronary artery dlsease （CAD） and sleep - disordered breathing （SDB） and establish guidelines of nursing. Methods 45 cases of CAD with SDB and 51 cases of CAD without SDB were investigated and analyzed. Results The mean RDI, age, BMI, cases of obesity in the group of CAD with SDB were higher than that of counterparts of controls （P ＜ 0.05）; SDB defined as RDI ≥ 20（OR 2.1；CI 1.1 - 3.7; P ＜ 0.05） was independently associated with myocardial infarction. Conclusions Cases of CAD with SDB should be aware of its risk; healthy lifestyle should be advocated; the elderly cases at home are supposed to be paid more attention.

关 键 词：睡眠呼吸紊乱 冠心病 护理 

分 类 号：R473.5[医药卫生—护理学]