摘要
目的 研究阻塞性睡眠呼吸暂停综合征（obstructive sleep apnea hypopnea syndrome,OSAHS）与房颤的相关性.方法 对2010年7月～2013年8月于我院就诊的睡眠障碍病患均进行多导睡眠仪监测（Polysomnography,PSG）.随机抽取61例OSAHS患者作为OSAS组,另取61例正常者为正常组,比较两组体征数据情况.而后将OSAHS组患者根据病情程度分为轻度、中度以及重度组,比较三组间房颤发生情况.结果 OSAHS组AHI、氧减指数、微觉醒指数以及平均SaO2均明显高于正常组,差异均有统计学意义（P＜0.05）.OSAHS组窦性心动过缓、室性早搏、室上性早搏以及房颤发生率均显著高于正常组,差异均有统计学意义（P＜0.05）.与轻度及中度组相比,重度组房颤发生率明显增高,差异有统计学意义（P＜0.05）.结论 房颤与OSAHS呈高度正相关,房颤发生情况可以为诊断OSAHS患者病情程度提供依据.
Objective To investigate the correlation between obstructive sleep apnea syndrome and atrial fibrillation. Methods From 2010 July to 2013 August, patients with sleep disorders were given polysomnography （PSG） in our hospital. 61 cases of O SAHS patients were randomly selected as the observation group, 61 cases of healthy subjects were selected as the control group, two groups of the clinical indexes were observed and compared. According to the severity of the disease, patients with OSAHS were divided into three groups, to compare the incidence of atrial fibrillation between the three groups. Results The OSAHS group was significantly higher than the control group in AHI, oxygen de- saturation index, arousal index and the average SaO2, there were significant differences between the two groups （P〈0.05）. The OSAHS group was significantly higher than the control group in the sinus bradycardia, ventricular premature beat and atrial fibrillation, there were significant differences between the two groups （P〈0.05）. AF incidence of patients with severe OSAHS was higher than patients with Mild and moderate OSAHS, there were significant differences between the two groups （P〈0.05）. Conclusion The incidence of atrial fibrillation was highly correlated with OSAHS, the incidence of atrial fibrillation can be used as the judging standard in patients with OSAHS.
出处
《中国现代医生》
2014年第28期18-20,共3页
China Modern Doctor
基金
福建省南安市科技计划项目(s201207)
关键词
OSAHS
房颤
相关性
PSG监测
OSAHS
Atrial fibrillation
Correlation
PSG monitoring
