AUTO-CPAP治疗对脑梗死合并OSAHS患者预后的影响  

The impact of auto-CPAP on the recovery phase outcome of cerebral infarction patients with OSAHS

作　　者：马丽娜[1] 李兴[1] 崔晓红[1] 吴和弟[1] 

机构地区：[1]海口市人民医院,海南海口570208

出　　处：《中国热带医学》2012年第10期1296-1297,共2页China Tropical Medicine

摘　　要：目的了解AUTO-CPAP干预对脑梗死合并OSAHS患者预后的影响。方法选择自2008年10月至2011年7月本院经CT或MRI证实无严重心、肺、肝、肾损害急性脑梗死合并OSAHS患者共100例。随机进入治疗组和对照组,只有治疗组使用Auto-CPAP。观察NIHSS评分及Barthel指数评价神经功能缺损程度和日常生活能力的改善。经过SPSS统计、分析治疗效果.结果治疗组和对照组组患者在性别、年龄相匹配(P>0.05);OSAHS中、重度患者呼吸机治疗后NIHSS评分及BI评分的改善程度大于轻度患者,差异有统计学意义(P<0.05)结论Auto-CPAP能提高中重度OSAHS患者的早期日常生活能力,减少神经功能缺损,提高回归社会的能力。Objective To investigate the recovery phase therapeutic effect of auto-CPAP on cerebral infarction patients with OSAHS. Methods Totally 100 cerebral infarction patients with OSAHS who had no severe damage of heart, lung, liver and kidney, were selected from hospital from October 2008 to July 2011. There were matched in gender and age between the treatment group and the control group（ P〉O.05）; The patients were randomized in the two groups, but Auto-CPAP only in the treatment group .The key indexes recorded were National Institutes of Health Stroke Scale （NIHSS）,Barthel Index （BI） o All these data were analyzed with SPSS soft packs.Results The improvement of BI scores and NIHSS scores in the patients with moderate-severe OSAHS were exceeded than those mild patient （P〈0.05）. Conclusion Auto-CPAP is efficacious in improving the daily activities at early stage, reducing neurological defects and restoring social abilities of cerebral infarction patients with OSAHS.

关 键 词：AUTO-CPAP 脑梗死 神经功能 

分 类 号：R743.1[医药卫生—神经病学与精神病学]