合并阻塞性睡眠呼吸暂停低通气综合征的老年冠心病患者临床分析  

Clinical Analysis of Aged Coronary Heart Disease Patients with Obstructive Sleep Apnea-Hypopnoea Syndrome

作　　者：郭磊[1] 俞梦孙[2] 张宏金[2] 侯小平[3] 杨军[2] 

机构地区：[1]南方医科大学,广东广州市510515 [2]空军航空医学研究所,北京市100036 [3]空军总医院,北京市100036

出　　处：《中国康复理论与实践》2007年第9期880-881,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨阻塞性睡眠呼吸暂停低通气综合症(OSAHS)与老年冠心病患者病情之间的关系。方法对27例老年冠心病住院患者进行微动敏感床垫睡眠监测系统检查,根据监测结果把患者分成OSAHS组14例与非OSAHS组13例,比较两组间年龄,体重指数,心肌梗死、心律失常、心力衰竭的发生率。结果OSAHS组体重指数,心律失常、心力衰竭发生率高于非OSAHS组(P<0.05);OSAHS组心律失常类型主要是室上性快速心律失常。结论OSAHS可能促进老年冠心病患者病情的发展。Objective To explore the effect of obstructive sleep apnea-hypopnoea syndrome（OSAHS）on coronary heart disease in the elder.Methods 27 aged coronary heart disease patients were selected and divided into non-OSAHS,OSAHS groups according sleep apnea-hypopnoea index（AHI）.Their age,body mass index,the incidence of myocardial infarction,heart failure,arrhythmia were compared.Results There were significantly higher incidences of heart failure,arrhythmia in OSAHS group than in non-OSAHS group,as well as body mass index.Conclusion OSAHS may aggravate the coronary heart disease in elderly patients.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征(OSAHS) 冠状动脉性心脏病 心律失常 心肌梗死 心力衰竭 

分 类 号：R541.4[医药卫生—心血管疾病]