OSAHS伴难治性高血压患者术后血压变化观察  

The surgical treatment effect on upper airway in treating refractory hypertension accompanied with OSAHS

作　　者：盛晓丽[1] 张思毅[1] 葛平江[1] 陈少华[1] 冯颖青[2] 罗小宁[1] 黄宏明[1] 

机构地区：[1]广东省医学科学院广东省人民医院耳鼻咽喉头颈外科,广州510080 [2]广东省人民医院心血管病研究所

出　　处：《临床耳鼻咽喉头颈外科杂志》2012年第12期533-535,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：2004年广东省科技计划项目(No:2004B30901010)

摘　　要：目的:观察阻塞性睡眠呼吸暂停低通气综合征(OSAHS)伴难治性高血压(RH)患者进行上气道手术治疗后血压的变化,对其疗效进行分析。方法:对32例患者阻塞部位进行上气道手术,术前及术后6个月、1年和2年进行血压监测和PSG监测。结果:患者夜间的AHI、SaO2<90%的时间均较手术前显著降低,LSaO2明显提高(均P<0.01)。治疗后,患者收缩压及舒张压均明显下降(均P<0.05)。结论:上气道手术可以有效改善OSAHS伴RH患者的血压。Objective：To investigate the clinical treatment effect of refractory hypertension accompanied with OSAHS by surgery on upper airway. Method： Thirty-two patients were enrolled in our research. PSG and blood pressure were examined on preoperation and 6th month, 1 year ,2 year of postoperation . Result：The AHI and the time of SaO2 〈90% were lower significantly,and LSaO2 was improved（P〈0.01）. The blood pressures of 32 patients were decreased. Conclusion： The operation on upper airway could improve the hypertension of patient with OSAHS effectively.

关 键 词：睡眠呼吸暂停低通气综合征 阻塞性 上气道手术 难治性高血压病 

分 类 号：R544.1[医药卫生—心血管疾病]