椎-基底动脉短暂缺血发作与睡眠呼吸暂停综合征的关系  

Relationship between vertebrobasilar arterial transient ischemia attack and sleep apnea syndrome

作　　者：于逢春[1] 丁秀[2] 张玉焕[2] 张晓君[1] 

机构地区：[1]首都医科大学附属北京同仁医院神经内科,100730 [2]首都医科大学附属北京同仁医院睡眠中心,100730

出　　处：《北京医学》2006年第6期339-342,共4页Beijing Medical Journal

摘　　要：目的探讨椎!基底动脉短暂缺血发作(VB!TIA)与睡眠呼吸暂停综合征(SAS)的关系。方法将28例VB-T-A患者分为夜间频发VB!TIA组及非夜间频发VB!TIA组,于急性期进行夜间多导睡眠仪(PSG)的监测,并对SAS进行诊断与分级,用t检验及!2检验比较SAS在两组间的差异。结果28例监测结果显示SAS26例(92.8%),正常2例(7.1%)。其中夜间频繁发作组中、重度SAS12例(80%),轻度SAS3例(20%);而非夜间频繁发作组中、重度SAS1例(7.7%),轻度10例(76.9%)。两组比较有非常显著性差异(P<0.01)。结论VB!TIA患者SAS常见,尤其是夜间频繁发作的VB!TIA患者,SAS的程度重。因此,SAS与VB!TIA关系密切。Objective To explore the relationship between transient vertebrobasilar arterial isehemia attack （VB- TIA） and sleep apnea syndrome （SAS）. Methods Overnight polysemngraphy （PSG） were performed in 28 patients with VB-TIA 72 hours after ischemia attack. Twenty-eight patients were divided into two groups based on clinical features, frequent nocturnal attack group （FNA） and non-frequent nocturnal attack group （n-FNA）. SAS were classified into mild, moderate and severe. Data were analyzed by SPSSll.5. Results SAS was found in 26 of 28 patients （92.8%）. Moderate and severe SAS were found in 12 of 15（80%） FNA patients while only 1 of 13 （7.7%） were found in n-FNA patients. Mild SAS was found in 3 of 15 （20%） FNA while 10 of 13 （76.9%） in n-FNA patients（P〈0.01）. Conclusions SAS is commonl in VB-TIA patient and severe SAS is more common in FNA than n-FNA patient. SAS is closely related with VB-TIA.

关 键 词：椎-基底动脉短暂缺血发作 睡眠呼吸暂停综合征 多导睡眠图 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R766[医药卫生—临床医学]