阻塞性睡眠呼吸暂停综合征合并阵发性室上速患者冠状动脉造影结果分析  

Analysis of Coronary Angiography in Patients with Obstructive Sleep Apnea Syndrome Complicated with Paroxysmal Supraventricular Tachycardia

作　　者：宛红娥[1] 杨文新[2] 邹蕴[1] 付建军 寇斌[1] WAN Honger;YANG Wenxin;ZOU Yun;FU Jianjun;KOU Bin(General Hospital of Xinjiang Military Command,Urumqi 830000,China;general hospital of xinjiang military command,Beijing clinical department,Urumqi 830000,China)

机构地区：[1]新疆军区总医院,乌鲁木齐830000 [2]新疆军区总医院北京部临床部,乌鲁木齐830000

出　　处：《世界睡眠医学杂志》2020年第9期1643-1645,共3页World Journal of Sleep Medicine

摘　　要：目的:探讨阻塞性睡眠呼吸暂停综合征合并阵发性室上速患者冠状动脉造影结果。方法:选取2017年10月至2019年10月疆军区总医院医学影像科收治的阻塞性睡眠呼吸暂停综合征合并阵发性室上速患者30例作为观察组,同时随机抽取单纯阵发性室上速患者30例作为对照组。2组患者均予以冠状动脉造影以及睡眠呼吸监测,经监测和评测剖析、比对2组患者的临床结果。结果:监测结果显示,观察组的AHI较对照组高,最低SaO2、平均SaO2较对照组更低,2组比较差异有统计学意义(P<0.05);观察组中3个亚组AHI值、最低SaO2值、平均SaO2值数据相当,差异无统计学意义(P>0.05)。观察组的冠状动脉单支、双支、三支病变率较对照组高,差异有统计学意义(P<0.05);观察组的3个亚组病变率依次递增,差异有统计学意义(P<0.05)。结论:阻塞性睡眠呼吸暂停综合征合并阵发性室上速患者冠状动脉病变明显,病变程度与阻塞性睡眠呼吸暂停综合征病情联系密切。Objective:To investigate the results of coronary angiography in patients with obstructive sleep apnea syndrome(OSA)combined with paroxysmal supraventricular tachycardia.Methods:A total of 30 patients with obstructive sleep apnea syndrome complicated with paroxysmal SUpraventricular tachycardia admitted to the Medical Imaging Department of Xinjiang Military General Hospital from October 2017 to October 2019 were selected as the observation group,and 30 patients with paroxysmal supraventricular tachycardia were randomly selected as the control group.Coronary angiography and sleep breathing monitoring were performed in both groups,and the clinical results of the two groups were analyzed and compared after monitoring and evaluation.Results:The AHI,lowest SaO2 and average SaO2 of the observation group were higher than those of the control group,and the differences between the two groups were statistically significant(P<0.05).The AHI value,lowest SaO2 value and average SaO2 value of the three subgroups in the observation group were similar,and the differences were not statistically significant(P>0.05).The lesion rates of single,double and triple coronary arteries in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The lesion rates of the three subgroups in the observation group increased successively,with statistically significant differences(P<0.05).Conclusion:In patients with OBSTRUCTIVE sleep apnea syndrome combined with paroxysmal supraventricular tachycardia,coronary artery lesions were obvious,and the degree of lesions was closely related to the condition of OBSTRUCTIVE sleep apnea syndrome.

关 键 词：阻塞性睡眠呼吸暂停综合征 阵发性室上速 冠状动脉造影 诊断价值 

分 类 号：R338.63[医药卫生—人体生理学] R441.8[医药卫生—基础医学]