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1、冠心病与阻塞性睡眠呼吸暂停综合征的关系作者:何春欢,吴华颖,卓胜青,欧琼,卢少萍,蓝惠兰【摘要】目的:探讨冠心病(CAD)与阻塞性睡眠呼吸暂停综合征(OSAS)的关系及相应的护理措施。方法:对184例有心血管事件行冠状动脉造影的患者,在冠状动脉造影前、后进行睡眠呼吸监测,其中冠心病合并OSAS者147例(79.9%)(轻、中、重度分别为93、32、22例),单纯冠心病者37例,比较冠心病合并不同程度OSAS患者的基本情况及心血管事件的发生率,结合临床实施针对性护理及健康宣教。结果:147例冠心病合并不同程度OSAS患者及单纯冠心病患者的年龄、冠心病并
2、存陈旧性心肌梗死率差异无统计学意义(P>0.05),随着呼吸紊乱程度的加重,患者睡眠呼吸紊乱指数逐渐升高(P<0.05),体重指数呈逐渐上升趋势,重度OSAS组与其它各组比较差异有统计学意义(P<0.05)。冠心病合并不同程度OSAS患者总心血管事件发生率差异无统计学意义(P>0.05)。结论:冠心病合并OSAS发生率高,护理上应密切观察病情,尤其是夜间病情观察,并应重视健康宣教。【关键词】冠心病;阻塞性睡眠呼吸暂停;护理[ABSTRACT]Objective:Toinvestigatetherelationofcoronar
3、yatherosclerosisdisease(CAD)toobstructivesleepapneasyndrome(OSAS)andthecorrespondingnurse.Methods:One7hundredeightyfourpatientswithcardiovasculareventsweremonitoredforsleepapneabeforeandafterundergoingcoronaryangiography,inwhichCADcoexistingwithOSASwas147cases(79.9%)(mild,mode
4、rateandseverepatientswere93,32and22casesrespectively),CAD37cases.GeneralbasicconditionsandincidencesofcardiovasculareventsinCADwithdifferentdegreesofOSASwerecompared,andtargetedhealthcareandeducationwereimplementedcombiningwiththeclinicalcondition.Results:Ofthe147patientswithCA
5、DcoexistingwithOSAS,comparedthe37patientswithCAD,age,incidenceofCADcomplicatedwitholdmyocardialinfarctionwerenosignificantdifferences(P>0.05);withtheincreasementofbreathingdisorder,theindexofbreathingdisorderelevatedgradually(P<0.05),bodymassindexshowedagradualupwardtrend
6、,comparedpatientswithsevereOSASwithpatientswithmildandmoderateOSAS,thedifferencesweresignificant(P<0.05);comparedthetotalincidencesofcardiovasculareventsinpatientsofCADwithdifferentdegreesofOSAS,thedifferenceswerenosignificant(P>0.05).Conclusion:TheincidenceofCADcoexistin
7、gwithOSASishigh,andcloselyobservationshouldbedoneinnursingcare,especiallyatnight,meanwhile,healtheducationshouldbestressed.7 [KEYWORDS]Coronaryatherosclerosisdisease(CAD);Obstructivesleepapnea;Nursingcare 阻塞性睡眠呼吸暂停低通气综合征(obstructivesleepapneasyndrome,OSAS)是一种睡眠疾病,主要表现为睡眠中反复出现
8、上气道阻塞,导致反复的呼吸暂停和低通气,从而发生间歇性低氧血症、高碳酸血症和睡眠结构紊乱,导致白天嗜睡、心脑