阻塞性睡眠呼吸暂停低通气综合征与高血压  

The relation between obstructive sleep apnea-hypopnea syndrome and hypertension

作　　者：能玲玲[1] 董明敏[1] 

机构地区：[1]郑州大学第一附属医院耳鼻咽喉头颈外科,河南郑州450052

出　　处：《中国民康医学》2006年第21期926-928,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)与高血压的关系。方法:424例患者行多导睡眠仪(PSG)检查,呼吸暂停低通气指数(AHI)≥5为OSAHS组,AHI<5为对照组,比较两组睡眠呼吸参数和睡眠前后血压改变。结果:OSAHS组最低SpO264.46±12.24较对照组84.27±10.67明显降低(P<0.05)。OSAHS组睡前收缩压127.00±16.59和醒后血压(132.09±18.09)/(90.06±13.25)较对照组睡前收缩压119.14±14.83及醒后血压(121.10±18.17)/(82.78±12.40)明显升高(P<0.05)。OSAHS组醒后血压及高血压发生率明显高于睡前(P<0.05)。结论:OSAHS可能是高血压发病因素之一。Objective：To investigate the relation between obstructive sleep apnea- hypopnea syndrome （OSAHS） and hypertension. Methods：424 cases were monitored with polysomnography （PSG）. On the basis of their AHI the patients were classified in two groups： OSAHS （A HI t〉5 ） and the controls （AHI 〈 5 ）. Their blood pressure （BP） in the evening before sleep and on the following morning and parameter of sleep and breath were measured then. Results： The lowest SpO2 was significantly lower in OSAHS （64.46 ± 12.24） than in the controls（84.27 ± 10.67）（P 〈0.05 ）. The mean systolic BP in the evening before sleep （127.00 _± 16.59 ） and the mean BP on the following morning （132.09 ± 18.09/90.06 ± 13.25 ） in OSAHS was significantly higher than in the controls （ 119.14 _± 14.83, 121.10 ± 18.17/82.78 ± 12.40） （P 〈 0.05 ）. The blood pressure and the hypertension rate on the following morning in OSAHS were significantly higher than in the evening before sleep. Conclusions： OSAHS may be one of the reasons for hypertension among some patients.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 高血压 

分 类 号：R767[医药卫生—耳鼻咽喉科]