阻塞性睡眠呼吸暂停综合征患者夜间心律失常的临床特征分析.docVIP

精品论文 参考文献 阻塞性睡眠呼吸暂停综合征患者夜间心律失常的临床特征分析 （宁夏银川市第一人民医院呼吸内科 宁夏 银川 750000） 　　【摘要】 目的：探讨阻塞性睡眠呼吸暂停综合征（OSAS）患者夜间心律失常的临床特征。方法:选取我院在2013年7月至2015年9月间83例因睡眠打鼾就诊的患者，对所有患者均进行动态心电图监测与多导睡眠图监测，并依据患者的夜间低氧情况及呼吸暂停指数将其分组，观察比较患者在夜间心律失常的发生情况。结果：OSAS患者在夜间发生心律失常机率明显高于单纯鼾症患者(P＜0.05)，OSAS患者的病情程度越严重，其心律失常的发生率越高，且危险性也明显增加。结论：OSAS患者在夜间发生心律失常的机率与患者病情程度之间为正相关性，且患者发生心率失常与其低氧血症及呼吸暂停指数间密切相关。 　　【关键词】 阻塞性睡眠呼吸暂停综合征；夜间；心律失常；发生情况 　　【中图分类号】R541.7 【文献标识码】A 【文章编号】2095-1752（2016）30-0051-02 　　Clinical characteristics of patients with obstructive sleep apnea syndrome at night 　　Xu Kewei, Zhou Yanjun, Huang Xiaobo. The First Peoples Hospital of Yinchuan City, Ningxia, Yinchuan 750000, China 　　【Abstract】Objective To investigate the clinical features of nocturnal arrhythmia in patients with obstructive sleep apnea syndrome (OSAS). Methods Selected in our hospital between July 2013 to 2015 September 83 cases due to snoring treatment of patients, all patients were ambulatory ECG monitoring and polysomnography, and on the basis of the patients on nocturnal hypoxemia and respiratory apnea index group, compared with patients in the incidence of nocturnal arrhythmia were observed. Results Patients with OSAS in nocturnal occurrence probability of arrhythmia was significantly higher than that of snoring patients (P lt; 0.05) and the severity of OSAS patients with more serious, a higher incidence of arrhythmias and risk also increased significantly. Conclusion There is a positive correlation between the probability of occurrence of arrhythmia and the degree of patients condition in OSAS patients, and the incidence of arrhythmia is closely related to hypoxia and apnea index. 　　【Key words】Obstructive sleep apnea syndrome; Night; Arrhythmia; Occurrence 　　阻塞性睡眠呼吸暂停综合征（OSAS）在临床上比较常见，通常在中、老年人群中比较高发[1]。而该病患者在夜间常常会出现心律失常的现象，对患者具有严重的危害[2]。本文就对OSAS患者在夜间心律失常的发生情况、类型及诱发因素等进行探讨分析，现报道如下。 　　1.资料与方法 　　1.1 一般资料 　　选取2013年7月至2015年9月期间因睡眠打鼾来我院进行诊治的83例患者作为本次试验的研究对象，其中55例为男性患者，28例为女性患者；年龄为35至71岁，平均年龄（47.8