阻塞性睡眠呼吸暂停综合征患者初筛监测数据性别间比较的研究.docVIP

阻塞性睡眠呼吸暂停综合征患者初筛监测数据性别间比较的研究 　　【摘要】目的:探讨阻塞性睡眠呼吸暂停综合征(OSAS)患者初筛监测数据性别间的差异。方法:将睡眠初筛诊断仪记录所得数据选取依AHI诊断为OSAS患者的AHI、BMI、鼾声指数、呼吸暂停低通气累积时间(分钟)、最低血氧饱和度(SaO2)数值及低氧血症累积时间等指标和数据以性别分组用SPSS12.0版统计软件进行分析研究。结果:本组OSAS患者性别组间比较BMI、鼾声指数及最低SaO2数值未见显著差异,而AHI、呼吸暂停低通气累积时间以及低氧血症累积时间存在显著差异。结论:女性OSAS患者的严重程度并不像男性患者那样随BMI的增加而增加,但她们出现重度低氧血症的情况却并不见得比男性OSAS患者为轻,这是一个很值得深究的现象;另一方面,女性OSAS患者尽管重度低氧血症发生情况与男性患者相仿,但由于其呼吸暂停低通气累积时间和低氧血症累积时间较男性患者远为小,治疗上是否应有不同于男性患者的原则?这是OSAS研究有待探究的另一个问题。? 　　【关键词】阻塞性睡眠呼吸暂停综合征;呼吸暂停低通气指数;体重指数? 　　doi:10.3969/j.issn.1006-1959.2010.09.127文章编号:1006-1959(2010)-09-2413-02? 　　 　　Comparative study of data between genders in the screening sleep study in the patients with obstructive sleep apnea syndromeHUANG Yu-dong,LI Zhi-ping,TANG Ke-jing,HUANG Jian-qiang,GOU Yi-biao1.The First Peoples Hospital of Baiyun District,510410,China;2.Department of Pulmonary medicine,The First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China? 　　【Abstract】Objective:To investigate the differences of data between genders in the screening sleep study in the patients with obstructive sleep apnea syndrome (OSAS).Methods:The OSAS patients were diagnosed by polysomnography.Apnea hypopnea index (AHI),body mass index (BMI),snoring index,the accumulated time (minutes) of apnea hypopnea,the lowest oxygen saturation (SaO2),and the accumulated time of hypoxemia were recorded and compared between the male patients and the female patients.Statistical analysis was performed using SPSS 12.0 for Windows software.Results:There was no significant difference in BMI,snoring index,or the lowest SaO2between the male patients and the female patients.However,there was significant difference in AHI,the accumulated time of apnea hypopnea and hypoxemia between the two groups.Conclusion:The severity of OSAS in the female patients did not increase with BMI as the male patients did,but the occurrence of severe hypoxemia in the female patients were not less than the male patients.This phenomenon is worth to be studied.