老年睡眠呼吸暂停低通气综合征患者临床特点  

Clinical features of elderly patients with sleep apnea hypopnea syndrome

作　　者：王洪洪[1] 李进让[1] 赵鹏举[1] 陈曦[1] 章榕[1] 

机构地区：[1]中国人民解放军海军总医院全军耳鼻喉头颈外科中心,北京100048

出　　处：《检验医学与临床》2017年第10期1379-1381,共3页Laboratory Medicine and Clinic

摘　　要：目的分析老年与非老年睡眠呼吸暂停低通气综合征(SAHS)患者的临床特点及差异。方法选取2014年1月至2015年12月进行多导睡眠监测(PSG)且符合SAHS诊断的患者资料,并按年龄分为老年组和非老年组,共计1 267例入选,其中老年组179例,非老年组1 088例。分别比较两组患者在呼吸暂停低通气指数(AHI)、性别、颈围的差异,并分析老年组患者颈围与体质量指数(BMI)、AHI的相关性。结果老年组SAHS发生率显著低于非老年组,差异有统计学意义(P<0.01);两组患者颈围、最低血氧饱和度、中枢性睡眠呼吸暂停低通气综合征发生次数等方面比较差异均有统计学意义(P<0.05)。相关性分析显示,老年组患者颈围与BMI、AHI均呈正相关(P<0.05)。结论老年SAHS患者有其自身的临床特点,治疗有别于非老年患者。Objective To analyze the clinical features of elderly patients with sleep apnea hypopnea syndrome （SAHS）.Methods A total of 1 267 cases were chosen from January 2014 to December 2014 in our department.The patients were confirmed by polysomnography and SAHS diagnostic criteria.All the patients were divided into elderly group （n=179）,non-elderly group （n=1 088） according to ages.Apnea hypoventilation index （AHI）,neck circumference and gender differences were compared between the two groups,and the correlation of neck circumference,body mass index （BMI） and AHI were analyzed in elderly group.Results Incidence rate of SAHS in elderly group was significantly lower than the non-elderly group （P〈0.01）.The differences of neck circumference,lowest oxygen saturation and central sleep apnea hypoventilation composition between the two groups had statistical significance （P〈0.05）.Correlation analysis showed that neck circumference was positively correlated with BMI and AHI in elderly patients（P〈0.05）.Conclusion Elderly patients with SAHS have their clinical characteristics and the treatment is different from the non-elderly patients.

关 键 词：睡眠呼吸暂停综合征 多导睡眠检测 症状 

分 类 号：R766.43[医药卫生—耳鼻咽喉科]