观察阻塞性睡眠呼吸暂停低通气综合征合并高血压患者的睡眠效果  

Observing the Sleep Efficacy in Patients with Obstructive Sleep Apnea-hypopnea Syndrome Complicated by Hypertension

作　　者：刘宇 陈秀兰 LIU Yu;CHEN Xiulan(Department of Respiratory and Critical Care Medicine,Fujian Elderly Hospital,Fuzhou 350000,China)

机构地区：[1]福建省老年医院呼吸与危重症医学科,福州350000

出　　处：《世界睡眠医学杂志》2025年第1期87-89,共3页World Journal of Sleep Medicine

摘　　要：目的:观察阻塞性睡眠呼吸暂停低通气综合征合并高血压患者的睡眠效果。方法:选取2021年1月至2024年1月福建省老年医院呼吸与危重症医学科收治的阻塞性睡眠呼吸暂停低通气综合征合并高血压患者60例作为观察组,选取同时段血压正常的阻塞性睡眠呼吸暂停低通气综合征患者60例作为对照组。采用多导睡眠监测仪监测2组患者的觉醒时间、呼吸暂停时间占睡眠时间百分比、呼吸暂停低通气指数、呼吸暂停指数、低通气指数、最低血氧饱和度、最长呼吸暂停时间血氧饱和度等指标。结果:治疗后,观察组觉醒时间显著低于对照组,观察组呼吸暂停时间占睡眠时间百分比显著高于对照组,观察组患者呼吸暂停低通气指数、呼吸暂停指数显著高于对照组,观察组最低血氧饱和度、最长呼吸暂停时间血氧饱和度显著低于对照组,差异有统计学意义(P<0.05);观察组低通气指数与对照组比较,差异无统计学意义(P>0.05)。结论:阻塞性睡眠呼吸暂停低通气综合征合并高血压患者多伴有严重的呼吸紊乱现象,且患者睡眠质量较差,需予以重视。Objective:To observe the sleep efficacy of patients with obstructive sleep apnea hypopnea syndrome(OSAHS)complicated by hypertension.Methods:A total of 60 patients with OSAHS and hypertension admitted to the Department of Respiratory and Critical Care Medicine at Fujian Provincial Geriatric Hospital from January 2021 to January 2024 were selected as the observation group.Additionally,60 patients with OSAHS and normal blood pressure during the same period were selected as the control group.Polysomnography was used to monitor the following indicators in both groups:wake time,percentage of sleep time spent in apnea,apnea-hypopnea index(AHI),apnea index(AI),hypopnea index(HI),lowest oxygen saturation,and oxygen saturation during the longest apnea event.Results:After treatment,the observation group showed significantly shorter wake time compared to the control group,while the percentage of sleep time spent in apnea was significantly higher in the observation group.The apnea hypopnea index(AHI)and apnea index(AI)of patients in the observation group were significantly higher than those in the control group.Additionally,the lowest oxygen saturation and oxygen saturation during the longest apnea event were significantly lower in the observation group compared to the control group,with statistically significant differences between the two groups(P<0.05).There was no statistically significant difference in the hypopnea index(HI)between the observation group and the control group(P>0.05).Conclusion:Patients with obstructive sleep apnea hypopnea syndrome complicated by hypertension often experience severe respiratory disorders and poor sleep quality,which require significant attention.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 高血压 并发症 睡眠质量 血氧饱和度 呼吸暂停低通气指数 呼吸紊乱 觉醒时间 

分 类 号：R364.4[医药卫生—病理学] R338.63[医药卫生—基础医学]