体位改变对阻塞性睡眠呼吸暂停低通气综合征患者睡眠结构和呼吸事件的影响

张欣; 万兰兰; 王君影; 徐彧; 李佩忠

doi:10.13201/j.issn.1001-1781.2014.07.007

体位改变对阻塞性睡眠呼吸暂停低通气综合征患者睡眠结构和呼吸事件的影响

- 南京医科大学附属淮安第一医院耳鼻咽喉科(江苏淮安, 223300)

详细信息

通讯作者: 李佩忠, E-mail:Lpzent310@163.com

中图分类号: R563.8

收稿日期: 2013-02-20

Effects of sleeping body posture on sleeping structure and respiratory events in patients with OSAHS

- Department of Otolaryngology, Huai'an First People's Hospital, Nanjing Medical University, Huai'an, 223300, China

More Information

Corresponding author: LI Peizhong, E-mail: Lpzent310@163.com

Received Date: 20 February 2013

摘要

摘要: 目的:研究OSAHS患者体位改变对睡眠结构、呼吸事件的影响并进行相关分析。方法:对80例OSAHS患者行ESS嗜睡量表评分,并按AHI分为OSAHS轻度组(5≤AHI＜15)、中度组(15≤AHI＜30)和重度组(AHI≥30),比较不同程度的OSAHS患者在不同体位时的睡眠结构、呼吸事件之间的差异。结果:体位发生改变时,OSAHS重度组与轻、中度组比较,REM%、NREM%、NREM LSaO₂、RDI、
- 睡眠呼吸暂停低通气综合征 /
- 阻塞性 /
- 睡眠体位 /
- 呼吸暂停指数
Abstract: Objective:To observe the effects of sleeping body posture on sleeping structure and respiratory events in patients with OSAHS.Method:We assessed the sleeping body position, the sleeping structure, position specific AHI and the Epworth Sleepiness Scale (ESS) in a total of 80 patients with Positional OSAHS. The patients were grouped according to AHI:mild OSAHS (5 ≤ AHI<15), moderate (15 ≤ AHI<30) and severe (AHI ≥ 30). The polysomnography data and clinical characteristics were compared between each group. Result:The severe OSAHS group, when compared with the mild and the moderate ones, had a significant different in REM%,NREM%,NREM LSaO₂,RDI,S-AHI and L-AHI due to posture(P<0.05). The severe and the mild OSAHS groups had significant different in MSaO₂,LSaO₂ due to posture(P<0.05). The moderate and the mild OSAHS group had significant different in LSaO₂,REM LSaO₂ and RDI(P<0.05). In all mild,moderate and severe groups,the LT% were higher than ST%, but the difference was not significant(P>0.05).For mild-to-moderate groups,there was no correlation between the ESS and the AHI for any position different(P>0.05). For severe group, the ESS was significantly correlated with L-AHI(r=0.551;P<0.01);the REM L-AHI and NREM L-AHI was also significantly correlated with ESS of severe group (r were 0.516 and 0.528,P<0.01). Conclusion:The L-AHI,NREM L-AHI,REM L-AHI and NREM LSaO₂ were considered to monitor the stability of OSAHS,while REM LSaO₂ were consider to clarify the severity of OSAHS.
- sleep apnea-hypopnea syndrome /
- obstructive /
- sleeping position /
- apnea-hypopnea index

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