初诊为冠心病的阻塞性睡眠呼吸暂停低通气综合征45例患者的临床分析  

Clinical analysis of 45 cases of obstructive sleep apnea-hypopnea syndrome who were first diagnosed coronary heart disease

作　　者：丁少芳[1] 刘红艳[1] 王丽[1] 孟康[2] 刘彤[2] 樊静[1] 张玲[1] 

机构地区：[1]首都医科大学附属北京安贞医院呼吸科,100029 [2]首都医科大学附属北京安贞医院心内科,100029

出　　处：《国际呼吸杂志》2008年第14期850-852,共3页International Journal of Respiration

摘　　要：目的提高对阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apnea-hypopnea syndrome，OSAHS）的认识，减少误诊和漏诊。方法选择我院心内科收治的胸痛、胸闷的打鼾患者45例，经冠状动脉造影排除了冠状动脉粥样硬化性心脏病后，通过睡眠呼吸监测确诊为OSAHS，结合临床进行回顾性分析。结果本组45例OSAHS患者经睡眠监测诊断，轻度OSAHS 17例，中度OSAHS 8例，重度OSAHS 20例。结论OSAHS患者并不少见。对于夜间憋醒后的胸痛、胸闷、肥胖患者，如存在习惯性打鼾、白天嗜睡应考虑到OSAHS的可能。Objective To elevate the understanding of obstructive sleep apnea-hypopnea syndrome （OSAHS） and improve its diagnosis. Methods Forty five cases admitted to the department were analyzed. Whole-night sleep monitoring was performed for 45 patients without coronary heart disease（coronary artery angiography was normal）. Results Forty five cases of OSAHS were diagnosed, among which mild OSAHS （5/h≤AHI〈20/h） was 17 cases, moderate OSAHS was 8 cases （20/h≤AHI〈40/h,）, severe OSAHS was 20 cases （AHI≥40/h）. Conclusions OSAHS is not uncommon. The diagnosis should be considered when chest pain, oppressive chest occur after nocturnal awakening for individuals with habitual snoring and daytime excessive sleepiness.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 冠心病 诊断 

分 类 号：R766[医药卫生—耳鼻咽喉科]