侧卧位睡眠对降低OSA患者AHI数值的价值探究  

To explore the value of lateral position sleep in reducing the AHI value of OSA patients

作　　者：刘政 张秀萍 沈纳 LIU Zheng;ZHANG Xiu Ping;SHEN Na(Zhongshan hospita,Fudan University(Xiamen Branch),E.N.T.department,Fujian Xiamen,361000;Zhongshan hospital,Fudan University,E.N.T.department,Shanghai,200001)

机构地区：[1]复旦大学附属中山医院厦门医院耳鼻喉科,福建厦门361000 [2]复旦大学附属中山医院耳鼻喉科,上海200001

出　　处：《中国药物滥用防治杂志》2024年第11期2065-2068,共4页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：复旦大学附属中山医院厦门医院孵化课题(编号:2020ZSXMYS03)。

摘　　要：目的:探究侧卧睡眠是否有助于降低OSA患者的AHI数值。方法:对2020年6月—2024年7月至我科住院行便携式睡眠呼吸监测的163例患者的睡眠呼吸监测报告指标进行数据统计分析,统计分析的指标包括年龄、性别、BMI、左侧AHI、右侧AHI、仰卧AHI及综合AHI,探究不同年龄组、不同性别、不同BMI类别、不同综合AHI类别的不同体位AHI是否存在差异性。结果:非OSA人群不能通过改变体位降低AHI数值,OSA患者中,不同性别患者、正常BMI患者、超重及肥胖患者、30~69岁患者、轻度OSA患者、中度及重度OSA患者均可通过侧卧睡眠降低AHI数值。结论:OSA患者可通过侧卧位睡眠降低AHI,从而减轻OSA症状,降低OSA的严重程度。Objective:To explore whether side-lying sleep can help to reduce the AHI value of OSA patients.Methods:From June 2020 to July 2024,the data of 163 patients who underwent portable sleep apnea monitoring in our department were statistically analyzed.The indicators of statistical analysis included age,gender,BMI,left AHI,right AHI,supine AHI and comprehensive AHI.To explore whether there are differences in AHI among different positions in different age groups,genders,BMI categories,and comprehensive AHI categories.Results:The people who do not have the OSA can not reduce the AHI value by changing the position.Among OSA patients,different gender,normal BMI patients,overweight and obese patients,30-69 years old patients,mild OSA patients,moderate and severe OSA patients can reduce the AHI value by sleeping on the side.Conclusions:OSA patients can reduce AHI by sleeping in the lateral position.

关 键 词：阻塞性睡眠呼吸暂停 睡眠监测 睡眠呼吸暂停低通气指数 睡眠体位 

分 类 号：R766[医药卫生—耳鼻咽喉科]