单纯型鼾症与混合型睡眠呼吸暂停低通气综合征多导睡眠检测分析  

Polysomnographical monitoring of snoring and multiple sleep apnea syndrome

作　　者：周雪琴[1] 杨桦[1] 谢睿[1] 闫晶晶[1] 镡旭民[1] 王昶[1] 

机构地区：[1]第三军医大学新桥医院耳鼻喉科,重庆400037

出　　处：《重庆医学》2010年第18期2409-2410,2412,共3页Chongqing medicine

摘　　要：目的探讨单纯鼾症和混合型睡眠呼吸暂停低通气综合征睡眠结构、血氧饱和度(SaO2)、呼吸紊乱指数(AHI)的差异及其这些差异可能的原因。方法分别对30例混合型睡眠呼吸暂停低通气综合征患者和62例单纯型鼾症患者进行多导睡眠监测,包括浅睡眠、深睡眠、快速动眼(REM)睡眠、SaO2、AHI,并将其结果进行对比。结果与单纯型鼾症患者比较,混合型睡眠呼吸暂停低通气综合征组Ⅰ、Ⅱ期睡眠(37.66±19.04、14.05±14.21)增多,Ⅲ、Ⅳ期、REM睡眠(3.31±5.69、0.87±1.37、41.67±23.36)减少;混合型睡眠呼吸暂停低通气综合征组患者的AHI指数(70.89±18.14)升高(P<0.01)、而SaO2减低(66.00±10.48)(P<0.01)。结论对于构成睡眠结构的各期所占之百分比,混合型睡眠呼吸暂停低通气综合征组与单纯型鼾症组比较差异无统计学意义(P>0.05),但前者存在Ⅰ、Ⅱ期睡眠增多和Ⅲ、Ⅳ期、REM睡眠减少的趋势;混合型睡眠呼吸暂停低通气综合征组患者的AHI指数明显升高、而SaO2却明显减低。Objective To discover the differences of sleep architecture,blood oxygen saturation（SaO2）and apnea hyponea index（AHI） between simple snoring and multiple sleep apnea hyponea syndrome（MSAHS）.Methods Polysomnography were used in 30 cases of MSAHS and 62 cases of simple snoring patients.The sleep architecture of light sleep,deep sleep and rapid eye movement（REM） sleep,as well as SaO2 and AHI were analyzed.Results Compared with the simple snoring patients,there were more stageⅠand Ⅱ sleeps（37.66±19.04 and 14.05±14.21）,but less stage Ⅲ,Ⅳ and REM sleeps（3.31±5.69,0.87±1.37,41.67±23.36）in MSAHS.At the same time,the AHI was higher（70.89±18.14）,but the SaO2 was lower（66.00±10.48） in the patients with MSAHS than in simple snoring patients.Conclusion Compared with the simple snoring patients,there were more stageⅠand Ⅱ sleeps but less stage Ⅲ,Ⅳ and REM sleeps in MSAHS.At the same time,the AHI was higher but the SaO2 was lower in the patients with MSAHS than in simple snoring patients.

关 键 词：鼾症 混合型睡眠呼吸暂停低通气综合症 多导睡眠检查 

分 类 号：R766[医药卫生—耳鼻咽喉科]