高血压合并阻塞性睡眠呼吸暂停综合征患者动态血压临床特点分析  

A clinical analysis of ambulatory blood pressure in hypertensive patients withobstructive sleep apnea-hypopnea syndrome

作　　者：欧福勇[1] OU Fu-yong(Chenzhou First People＇s Hospital＆ Chenzhou Central Hospital, Chenzhou 423000, Chin)

机构地区：[1]郴州市第一人民医院/中心医院,湖南郴州423000

出　　处：《心血管病防治知识（学术版）》2018年第3期8-10,共3页Prevention and Treatment of Cardiovascular Disease

摘　　要：目的探索高血压合并阻塞性睡眠呼吸暂停综合征患者的动态血压临床特点。方法选取我院2016年8月~2017年8月OSAHS患者80例,根据病情分为合并组(高血压合并OSAHS)和单纯OSAHS组,每组各40例,另外还需要选取30例健康者作为健康组(对照组)。然后分析比较三组受检者的睡眠监测指标和动态血压监测结果。结果检查后健康组各项睡眠监测指标和动态血压监测结果均优于合并组与OSAHS组(P<0.05);其中OSAHS组与合并组相比各项监测指标均优于合并组。结论 OSAHS患者在夜间会出现睡眠呼吸暂停,对血压的昼夜节律产生干扰,导致血管病变,致使血压升高。Objective To investigate the clinical features of ambulatory blood pressure in hypertensive patients with obstructive sleep apnea-hypopnea syndrome （OSAHS）. Methods A total of 80 patients with OSAHS who were treated in our hospital from August 2016 to August 2017 were enrolled and divided into combination group （hypertension complicated by OSAHS） and OSAHS group, with 40 patients in each group; 30 healthy individuals were enrolled as control group. Sleep monitoring indices and ambulatory blood pressure monitoring results were compared between the three groups. Results After examination, the control group had significantly bettersleep monitoring indices and ambulatory blood pressure monitoring results than the combination group and the OSAHS group （P〈0.05）, and the OSAHS group had significantly better sleep monitoring indices than the combination group. Conclusion OSAHS patients may experience sleep apnea during night, which may affect the circadian rhythm of blood pressure, cause vascular lesions, and thus increase blood pressure.

关 键 词：高血压 阻塞性睡眠呼吸暂停综合征 动态血压 昼夜节律 

分 类 号：R544.1[医药卫生—心血管疾病] R766[医药卫生—内科学]