阻塞性睡眠呼吸暂停低通气综合征伴难治性高血压患者行上气道手术的效果观察  

Effect Observation of Obstructive Sleep Apnea Hypopnea Syndrome Combined with Refractory Hypertension in Patients with Upper Airway Operation

作　　者：王海英 

机构地区：[1]山东省阳谷县人民医院耳鼻喉科,252300

出　　处：《实用心脑肺血管病杂志》2013年第8期80-81,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

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)患者行上气道手术的效果。方法回顾性分析我院经上气道手术治疗的36例OSAHS伴RH的患者,对其术前、术后1个月、术后6个月、术后1年进行血压监测和多导睡眠监测(PSG)。结果术后1个月、术后6个月及术后1年患者舒张压和收缩压均低于术前,差异有统计学意义(P<0.05)。术后1个月、术后6个月及术后1年患者夜间呼吸暂停低通气指数(AHI)低于术前,血氧饱和度(SaO2)高于术前,差异有统计学意义(P<0.05)。结论 OSAHS伴难治性高血压患者进行上气道手术治疗可有效改善血压,减少降压药物的使用。Objective To observe the effect of obstructive sleep apnea hypopnea syndrome（OSAHS） combined with refractory hypertension（RH） in patients with upper airway operation.Methods A retrospective analysis by the upper airway surgical treatment of 36 patients before their surgery,after 1 month,6 months,1 year,blood pressure monitoring and polysomnography（PSG）.Results After 1 months,6 months after operation and 1 years after surgery in patients with diastolic and systolic blood pressure were lower than those before operation,the differences were statistically significant（P ＆lt; 0.05）.After 1 months,6 months and 1 years after surgery the sleep apnea hypopnea index（AHI） of patients was lower than that before operation,blood oxygen saturation（SaO2） higher than those before operation,the difference was statistically significant（P ＆lt;0.05）.Conclusion OSAHS with refractory hypertension in patients with upper airway surgical treatment can be effective in improving blood pressure,reduce the use of antihypertensive drugs.

关 键 词：高血压 难治性 睡眠呼吸暂停低通气 阻塞性 上气道手术 

分 类 号：R766.7[医药卫生—耳鼻咽喉科]