阻塞性睡眠呼吸暂停综合征患者心律失常的临床分析  

Clinical analysis of cardiac arrhythmia in patients with obstructive sleep syndrome

作　　者：黄文[1] 吕芳芳[1] 史继红[2] 孙全格[1] 

机构地区：[1]武警山东总队医院心内科,山东济南250014 [2]山东大学卫生部耳鼻喉科学重点实验室

出　　处：《山东大学基础医学院学报》2004年第3期140-142,共3页Journal of Preclinical Medicine College of Shandong Medical University

摘　　要：目的 :探讨阻塞性睡眠呼吸暂停综合征 (obstructivesleepapneasyndrome ,OSAS)与心律失常的关系。方法 :对经多导睡眠仪监测 (Polysomnography ,PSG)确诊的OSAS 4 9例行 2 4h动态心电图 (Holter)观察 ,同时选择 2 0例单纯鼾症患者作为对照组。结果 :OSAS组患者体重、呼吸暂停低通气指数 (apneahypopneaindex ,AHI)和最低血氧饱和度 (lowestsaturation ,LSaO2 )与对照组差异有显著性 (P<0 .0 5 ,P <0 .0 1) ;OSAS组心律失常发生率为 5 1.11% ,并且随OSAS病情加重 ,心律失常发生率升高。结论Objective: To explore the relationship between obstructive sleep apnea syndrome(OSAS) and arrhythmia. Method:49 patients with OSAS and 20 simple snores who were confirmed by polysomnography(PSG)and were analyzed by 24 hours Holter. Result: The weight,apnea hypopnea index(AHI) and lowest saturation(LSaO2) in OSAS group were significantly higher than those of the control group. The incidence of cardiac arrhythmia in OSAS group were 51.11% and were increased with the severity of OSAS. Conclusion: The occurrence of cardiac arrhythmia in patients with OSAS is closely related with AHI and nocturnal hypoxemia.

关 键 词：睡眠呼吸暂停 阻塞性 心律失常 多导睡眠描记术 心电描记术 HOLTER 

分 类 号：R766.7[医药卫生—耳鼻咽喉科]