阻塞性睡眠呼吸暂停低通气综合征患者的影响因素分析  

Analysis of factors affecting patients with obstructive sleep apnea hypoventilation syndrome

作　　者：马莉洋 任盼 刘静 王璐 MA Liyang;REN Pan;LIU Jing;WANG Lu(Department of Otolaryngology and Head and Neck Surgery,the Second Affiliated Hospital of Air Force Military Medical University,Shaanxi Province,Xi’an710038,China)

机构地区：[1]空军军医大学第二附属医院耳鼻咽喉头颈外科,陕西西安710038

出　　处：《中国医药导报》2022年第35期62-65,共4页China Medical Herald

摘　　要：目的探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的影响因素。方法选择2019年12月至2021年9月空军军医大学第二附属医院收治的90例OSAHS患者作为观察组,选取同期空军军医大学第二附属医院健康体检者100名作为对照组。比较两组临床资料,采用logistic回归分析影响OSAHS发生的相关因素。结果两组体重指数(BMI)、糖尿病史、睡眠呼吸暂停低通气指数、最长低通气时间、最长呼吸暂停时间、最低血氧饱和度、睡眠体位比较,差异有统计学意义(P<0.05)。多因素非条件logistic回归分析显示,BMI≥24 kg/m^(2)、糖尿病史、睡眠体位仰卧位是OSAHS发生的影响因素(OR>1,P<0.05)。结论BMI≥24 kg/m^(2)、糖尿病史、睡眠体位仰卧位是OSAHS的危险因素,应加强防范,进一步降低OSAHS的发生率。Objective To investigate the factors affecting patients with obstructive sleep apnea hypoventilation syndrome(OSAHS).Methods Ninety patients with OSAHS admitted to the Second Affiliated Hospital of Air Force Military Medical University from December 2019 to September 2021 were selected as the observation group,and 100 cases of health checkups at the Second Affiliated Hospital of Air Force Military Medical University during the same period were selected as the control group.The clinical data of the two groups were compared,and logistic regression was used to analyze the relevant factors affecting the occurrence of OSAHS.Results The differences in body mass index(BMI),history of diabetes mellitus,sleep apnea hypoventilation index,maximum hypoventilation time,maximum apnea time,minimum oxygen saturation,and sleep position were statistically significant when compared between the two groups(P<0.05).Multifactorial unconditional logistic regression analysis showed that BMI≥24 kg/m^(2),history of diabetes mellitus,and sleep position supine position were influential factors in the occurrence of OSAHS(OR>1,P<0.05).Conclusion BMI≥24 kg/m^(2),history of diabetes,and sleep position in supine position are risk factors for OSAHS and should be strengthened to further reduce the incidence of OSAHS.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 体重指数 糖尿病史 睡眠体位 危险因素 

分 类 号：R76[医药卫生—耳鼻咽喉科]