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急性脑血管病与睡眠呼吸障碍关系的临床研究

Clinical study of sleep disordered-breathing in acute cerebrovascular diseases

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【作者】 肖高辉顾蕾杨功明晏培路玉江黄席珍

【Author】 XIAO Gao-hui,GU Lei,YANG Gong-ming,et al.Police Hospital of Beijing City,Beijing 100006,China

【机构】 北京市公安医院北京协和医院呼吸内科

【摘要】 目的探讨急性脑血管病与睡眠呼吸障碍(SDB)的关系。方法采用多导睡眠图或AutoSet PortableⅡPlus诊疗系统监测。结果39例患者中被诊断阻塞性睡眠呼吸暂停低通气综合征(OSAHS)共35例(89.7%),呼吸紊乱指数(AHI)轻度16例(41.0%);中度9例(23.1%);重度14例(35.9%)。中枢性OSAHS有3例(占7.7%),单纯打鼾症1例。结论35例急性缺血性脑血管病与SDB有密切的关系,可以为脑血管病的危险因素。

【Abstract】 Objective To discuss the relationship between disordered-breathing and acute cerebrovascular diseases.Methods Used ploysomnography or autoset portable Ⅱplus clinic system to monitoring.Results 35 cases(89.7%)of 39 patients with acute stroke was diagnosed OSAHS.An apnea-hypopnea index(AHI)5~15(mild OSAHS)was 16 of 39(41.0%);AHI 15~30(moderate OSAHS)was 9 of 39(23.1%);AHI>30(severe OSAHS)was 14 of 39(35.9%).Sleep apnea has a high frequency in patients with stroke,particularly in older patients with high BMI,diabetes,and severe stroke.These results may have implications for prevention,acute treatment,and rehabilitation of patients with acute cerebrovascular diseases.Conclusion OSAHS is both high risk factor of stroke and result of stroke.

  • 【文献出处】 临床合理用药杂志 ,Chinese Journal of Clinical Rational Drug Use , 编辑部邮箱 ,2009年18期
  • 【分类号】R743.3
  • 【被引频次】6
  • 【下载频次】95
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