阻塞性睡眠呼吸暂停低通气综合征成年患者睡眠监测特点及临床表现的分析

doi:10.3969/j.issn.1006-6233.2020.03.026

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Abstract Objective: To monitor the sleep monitoring characteristics and clinical manifestations of adult patients with Obstructive sleep apnea hypopnea syndrome (OSAHS), and to make a comparative analysis of the sleep monitoring characteristics and clinical manifestations of adult patients of different age groups, so as to provide a basis for the understanding, diagnosis and treatment of clinical OSAHS. Methods: 168 elderly patients with OSAHS were studied from January 2016 to December 2018. They were divided into two groups according to age, namely, 80 cases in the elderly group (elderly population) and 88 cases in the middle-aged and young group (middle-aged and young population). Polysomnography monitoring results, clinical manifestations, personal history and the occurrence of complicated diseases of the two groups were compared and evaluated. Results: The typical clinical manifestations of snoring, apnea, waking up at night and lethargy in young and middle-aged patients were higher than those in the elderly group. Young and middle-aged patients apnea hypopnea index (AHI) higher than the elderly group, elderly group patients CT90 %, micro awakening, oxygen reduction index, Ⅰ period as a percentage of total sleep time, Ⅲ period as a percentage of total sleep time and REM sleep time as a percentage of total sleep time, total sleep apnea time than young and middle-aged group, there were significant differences, P < 0.05;The proportion of patients with coronary heart disease in the elderly group was higher than that in the young and middle-aged group, with statistical difference (P < 0.05). Conclusion: The clinical manifestations of OSAHS patients in the young and middle-aged group were typical, AHI is high and the degree of disease is serious; the clinical manifestations of OSAHS patients in the old group are not typical, sleep quality is poor, the proportion of chronic diseases such as coronary heart disease is high and the risk is high.

Key words： Obstructive sleep apnea hypopnea syndrome Old age Clinical Characteristics of sleep monitoring

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2020.03.026 OR http://www.hbyxzzs.cn/EN/Y2020/V26/I3/458

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