老年阻塞性睡眠呼吸暂停低通气综合征患者睡眠监测及治疗特点.pdfVIP

第21卷第6期 山东 大 学 耳 鼻 喉 眼 学 报 Vo1．21 No．6 2007年12月 J OTOLARYNGOL OPHTHAL SHANDONG UNIV Dec．20O7 文章编号：1673—3770(21307)06—0518—03 老年阻塞性睡眠呼吸暂停低通气综合征 患者睡眠监测及治疗特点 王卫之 ，王岩 ，张代杰 (山东大学齐鲁医院1．口腔科；2．耳鼻咽喉科，济南250012) 摘要：目的 探讨老年阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea-hypopnea syndrome，OS． AHs)患者的多导睡眠诊断及治疗特点。方珐 对比分析87例老年(老年组)和296例中青年(中青年~t)os． AHS患者的多导睡眠图，并对87例老年患者用经鼻持续正压通气和口腔矫治器(oral印pliance，OA)治疗。 站果 老年患者呼吸暂停低通气~ (apnea-hypopnea index，AHI)[(25．97±18．23)次，h]低于中青年组患者 [(46．43±27．26)次，h](P0．001)，而老年组最低血氧饱和度[(78．43±10．95)]高于中青年组[(70．68±12． 49)](P0．001)。非快速动眼睡眠各期在两组间差异无统计学意义。老年组快速动眼睡眠期[(13．08± 7．37％)]明显长于中青年组[(9．78±7．23)％](P0．001)。站论 老年OSAHS患者较中青年OSAHS患者 病情相对较轻，对睡眠的影响除REM期外两组均无明显差异。老年OSAHS主要选择无创治疗。 关键词：睡眠呼吸暂停低通气综合征，阻塞性；老年；持续正压通气；口腔矫治器 中图分类号：R766．7 文献标志码：A Polysomnography analyses and treatment of obstructive sleep apnea—hypopnea syndrome in senile patients WANG Wei．zhi ，WANG Yan2，ZHANG Dai—jie (1．Department of Stomtology；2．Department of OtorhlaryngulogyHead and Neck Surgery， Qilu Hospital of Shandong Universi~，Jinan 250012，China) Abstract：Objective To analyze the characteristics of polysomnography and treatment in senile pafien~with obs~- uc~ve sleep apnea-hypopnea syndrome．Method 32一guide polysonmography was performed on 87 senile pafien~and 296 middle—juvenile pafien~with obstructive sleep apnea-hypopnea syndrome，and the results were analyzed by Polys— rIlith．Also the 87 senile patients were treated with continuous positive airway pressure(CPAP)and an oral印pliance (OA)．Results The AHI Was(25．97 4-18．23)／h in the senile patients and(46．43±27．26)／h in the middle—juvenile patients．The me,an value of the NREM stage between the two groups Was similar．The REM of t