阻塞性睡眠呼吸暂停患者神经肌肉功能因素对呼吸暂停时程影响的相关研究  

The effect of upper airway neuromuscular function on apnea duration in patients with obstructive sleep apnea syndrome

作　　者：曹鑫[1] 叶京英[1] 

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京100730

出　　处：《首都医科大学学报》2011年第6期742-745,共4页Journal of Capital Medical University

基　　金：北京市教育委员会科技计划重点项目(KZ201010025020)~~

摘　　要：目的通过对不同长短呼吸暂停事件的下颌表面肌电分析,探讨神经肌肉因素对呼吸暂停事件时间长短的影响。方法睡眠监测并同步行表面肌电图诊断为阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea-hypopnea syndrome,OSAHS)的64例男性患者,比较不同长短呼吸暂停事件时下颌肌电补偿值的差异。结果不同长短呼吸暂停的下颌肌电补偿值差异有统计学意义(P<0.05)。结论神经肌肉功能因素对呼吸暂停时程有一定的影响,较差的肌肉反应性可能导致更长的呼吸暂停。Objective To assess neuromuscular factors influencing the apnea duration in patients with obstructive sleep apnea-hypopnea syndrome（OSAHS）. Methods Totally 64 male patients were diagnosed OSAHS by sleep study and were monitored with surface electromyography（EMG）.We compared different apnea events with different duration through the percent of compensated EMG value（PCEV）.PCEV was determined from awake to early stage of obstructive apnea. Results There was significant difference between PCEVs in different apnea（P0.05）. Conclusion Neuromuscular factors have a certain impact on apnea duration.

关 键 词：阻塞性睡眠呼吸暂停 下颌表面肌电 呼吸暂停时程 多导睡眠监测 

分 类 号：R856.76[医药卫生—航空、航天与航海医学]