| 摘要: |
| ［摘要］ 目的 分析阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者治疗前后血压变化情况。方法 选取206例主诉打鼾患者，根据睡眠呼吸监测的结果，分为OSAHS组(A组）139例和非OSAHS组(B组）67例，观察OSAHS患者治疗前后24 h动态血压变化情况。结果 A组高血压的发生率均明显高于B组(P<0.05)，其血压多呈非勺型。OSAHS患者经过有效的经鼻持续气道正压通气（NCPAP）、手术等治疗后，血压有下降的趋势。结论 OSAHS患者经有效治疗后血压等趋向于正常，可预防、减少心血管事件的发生。 |
| 关键词: 阻塞性睡眠呼吸暂停低通气综合征 血压 鼻中隔成形术 改良悬雍垂腭咽成形术 |
| DOI：10.3969/j.issn.1674-3806.2014.03.11 |
| 分类号:R 562.1；R 762 |
| 基金项目: |
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| Clinical analysis of blood pressure of obstructive sleep apnea hypopnea syndrome patients before and after treatment |
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WEI Hua-qing, WEI Cen
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Department of Cardiovascular Diseases, Hechi TCM Hospital, Guangxi 547000,China
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| Abstract: |
| ［Abstract］ Objective To analyze the changes in blood pressure of obstructive sleep apnea hypopnea syndrome(OSAHS) patients before and after treatment.Methods Two hundred and six patients complained of snoring were divided into OSAHS group(139 cases) and non-OSAHS group(67 cases) by polysomnography(PSG). All patients were monitored 24 h ambulatory blood pressure with ambulatory blood pressure monitoring, and both groups results were compared analyzed. OSAHS patients received reexamination for 24 h ambulatory blood pressure before treatment and after 6 months later, and the results were compared.Results The incidence of hypertension in OSAHS group were significantly higher than in non-OSAHS group(P<0.05). The blood pressure of patients with OSAHS showed often a nondipper pattern. Followed-up of 6 months showed after effective nCPAP, surgery and other treatment, blood pressure in OSAHS patients had descendent tendency.Conclusion After effective treatment, blood pressure of OSAHS patients tends to be normal, and can prevent and reduce cardiovascular events. |
| Key words: Obstructive sleep apnea hypopnea syndrome(OSAHS) Blood pressure Septorhinoplasty Han-uvulopalatopharyngoplasty |
