本文選題：睡眠呼吸暫停 + 阻塞性　； 參考：《中國全科醫(yī)學》2015年32期

【摘要】：目的通過柏林問卷篩查心臟內(nèi)科住院患者阻塞性睡眠呼吸暫停低通氣綜合征(OSAHS)的高危人群,評價OSAHS高危與心血管疾病患者預后的關系。方法選取2013年1月—2014年1月蘇州大學附屬第二醫(yī)院心臟內(nèi)科住院患者618例為研究對象,入院病情穩(wěn)定后進行柏林問卷調(diào)查,根據(jù)評分將患者分為OSAHS高危組(≥2分,274例)和OSAHS低危組(≤1分,344例)。收集患者既往病史、現(xiàn)病史資料和隨訪1年后再住院、心因性死亡發(fā)生情況。結(jié)果 OSAHS高危組年齡、頸圍、體質(zhì)量、體質(zhì)指數(shù)(BMI)、身高校正的頸圍、既往腦血管意外及高血壓、糖尿病、高脂血癥、慢性腎功能不全患病率高于OSAHS低危組(P0.05)。隨訪期間,OSAHS高危組患者再住院70例(25.5%),OSAHS低危組患者再住院52例(15.1%),OSAHS高危組再住院率高于OSAHS低危組(χ2=10.470,P=0.002)。OSAHS高危組患者心因性死亡17例(6.2%),OSAHS低危組患者心因性死亡4例(1.2%),OSAHS高危組心因性病死率高于OSAHS低危組(χ2=11.810,P=0.001)。多因素Logistic回歸分析結(jié)果顯示,既往腦血管意外〔b=0.571,OR=1.763,95%CI(1.017,3.085),P=0.045〕和高危OSAHS〔b=0.560,OR=1.751,95%CI(1.084,2.828),P=0.022〕是心臟內(nèi)科住院患者再住院的危險因素;高危OSAHS〔b=1.157,OR=3.182,95%CI(1.045,9.687),P=0.042〕是心臟內(nèi)科住院患者心因性死亡的危險因素。結(jié)論心血管疾病患者OSAHS高危人群合并高血壓的比例較高,發(fā)生不良預后的風險增加。
[Abstract]:Objective to screen the high risk population of obstructive sleep apnea hypopnea syndrome (OSAHS) by Berlin questionnaire and to evaluate the relationship between the high risk of OSAHS and the prognosis of patients with cardiovascular disease. Methods from January 2013 to January 2014, 618 hospitalized patients in Department of Cardiology, second affiliated Hospital of Suzhou University, were selected as subjects. According to the score, the patients were divided into high risk group of OSAHS (鈮，

本文編號：2108079