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连续气道正压通气对OSAHS患者血压的影响

Effect of Nasal Continuous Positive Airway Pressure Treatment on Blood Pressure in Patients with Obstructive Sleep Apnoea-hypopnea Syndrome
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摘要 目的了解连续气道正压通气对阻塞性睡眠呼吸暂停综合征(OSAHS)患者血压的影响。方法分析OSAHS及伴高血压的患者使用连续气道正压通气(CPAP)后,血压及通气障碍、氧合的改变。结果使用CPAP后,AHI明显下降,SaO2mean、SaO2mini均明显上升(P=0.000)。而收缩压和舒张压与治疗前比较均无明显下降(P>0.05)。结论CPAP治疗OSAHS伴有高血压患者可以改善睡眠时的呼吸障碍,改善氧合;但不能确定CPAP短期治疗对OSAHS伴高血压患者有降压作用。 Objective To explore the effect of continuous positive ainvay pressure (CPAP) to blood pressure of obstructive sleep apnea - hypopnea syndrome (OSAHS). Methods We evaluated the variation of blood pressure and AHI , oxygenation in the OSAHS patients after using CPAP. Results AHI is obviously decreased ( P =0. 000) , oxygenation is obviously increased ( P =0. 000) after using CPAP. But blood pressure is not obviously decreased ( P 〉 0. 05 ). Conclusion CPAP can improve oxygenation and sleep apnea - hypopnea , but can not be proven having effects of decreased blood pressure.
出处 《医药论坛杂志》 2008年第24期28-29,31,共3页 Journal of Medical Forum
关键词 睡眠 呼吸暂停:低通气 高血压 连续气道正压通气 Sleep Apnea HypoVentilation Hypertension Continuous positive airway pressure
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