老年人睡眠呼吸暂停综合征的特点.pdfVIP

2002, 27( 2) BULL HUNAN MED UNIV 149 罗荧荃, 杨 宇, 黄小健, 何 玲 ( 中南大学湘雅二医院老年病科, 长沙 410011) [ ] 目的: 探讨老年人睡眠呼吸暂停综合征( SAS) 的临床特点方 : 用多导睡眠监测系统对可疑 SAS 的42 例男性进行7 h 多导睡眠图检查结果: 老年组与中青年组SAS 比较:体重指数颈围的差异无显著性, 呼吸暂停低通 气指数微觉醒指数老年组较低, 最低SaO 老年组较高, 两组间差异有显著性( P 0.05) 年龄与呼吸暂停低通气指 2 数呈负相关( r = - 0. 329, P 0.05) , 体重指数颈围与呼吸紊乱指数呈正相关( r 分别为0326 和0306, P 0.05) 结论: 排除体重指数颈围的影响, 老年人SAS 严重程度较中青年组轻 * [ ] 睡眠呼吸暂停综合征; 呼吸暂停低通指数 ; 老年人 [ ] R5639 [ ] A [ ] 2002) Characteristics of the sleep apnea syndrome in the aged LUO Yi gqua , YANG Yu, HUANG Xiaojia , et al . ( Department of Geriatrics , Second X iangya H ospi tal , Central South Univers ity , Changsha 410011, China) Abstract: Obj ective To study the characteristics of the sleep ap ea sy drome i the aged. Methods Fortytwo males who were suspicious of the sleep ap ea sy drome (SAS) were detected with 7hour polysom og raphy ( PSG) . Results The body mass i dex ( BMI) a d eck circumfere ce showed o sig ifica t differe ce i the aged a dmiddle aged groups. The ap eahypop ea i dex ( AHI) a d microarousal i dex (MAI) were sig ifi ca tly lower, a d the mi imum oxyge saturatio ( SaO2) sig ifica tly higher i the aged tha those i the middle aged ( P 0. 05) . Age was egatively correlated to AHI ( r = - 0. 329, P 0. 05) . The BMI a d eck cir cumfere ce were positively correlated to AHI ( r = 0. 326, P 0. 05; r = 0. 306, P 0. 05, respectively) . Conclusion SAS patie ts are less severe i the aged excludi g the affectio of the BMI a d eck circumfer e ce.