冠心病与阻塞性睡眠呼吸暂停综合征的关系

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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:One7hundredeightyfourpatientswithcardiovasculareventsweremonitoredforsleepapneabeforeandafterundergoingcoronaryangiography,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