国际医药卫生导报2017,Vol.23Issue(16):2520-2523,4.DOI:10.3760/cma.j.issn.1007-1245.2017.16.006
不同部位不同面积脑梗死与阻塞性睡眠呼吸暂停综合征的关系
The relationship between different cerebral infarction areas or parts and obstructive sleep apnea syndrome
摘要
Abstract
Objective To observe the changes of the area and part of infarction in patients with cerebral infarction complicating by obstructive sleep apnea syndrome (OSAS),and investigate their relationship with OSAS.Methods 200 stroke patients were recruited out of department of neurology of our hospital from July 2015 to April 2017,all patients were monitored with polysomnography for 6 hours to 3 weeks.All patients were divided into stroke group (n=89) and stroke with OSAS group (n=l 11) according to the apnea hypopnea index (AHI),or anterior-circulation infarction group (n=146) and posterior-circulation infarction group (n=54),or large area infarction group (infarction area ≥5 cm,n=47) and non-large area infarction group (infarction area <5 cm,n=153).The general condition,the part of infarction,the area of infarction,NIHSS score,sleep parameters of all patients were recorded.Statistical tests were implemented with IBM SPSS22.0.Results There were 63 patients with anterior-circulation infarction (70.8%) in stroke group;there were 40 patients with anterior-circulation infarction (80.0%) in stroke with mild OSAS group;there were 25 patients with anterior-circulation infarction (75.8%) in stroke with moderate OSAS group;there were 18 patients with anterior-circulation infarction (64.3%) in stroke with severe OSAS group;there was no statistically significant difference in the ratio of anteriorcirculation infarction among the four groups (P>0.05).There were 20 patients with cerebral infarction (22.5%) and 27 patients with cerebral infarction complicating by OSAS (24.3%) in large area infarction group;there were 69 patients with cerebral infarction (77.5%) and 84 patients with cerebral infarction complicating by OSAS (75.7%) in non-large area infarction group;there was no statistically significant difference (P>0.05).Conclusion The area and part of cerebral infarction may not be related to the severity of OSAS.关键词
脑梗死/阻塞性睡眠呼吸暂停/前循环/后循环Key words
Cerebral infarction/Obstructive sleep apnea syndrome/Anterior circulation/Posterior circulation引用本文复制引用
钟水生,曾昭龙,康维礼,张婷婷,许绍强,王展航,陈文明,李志刚,廖硕希,胡运新,杨慧,包泽岩,潘梦秋,胡琼力,匡祖颖..不同部位不同面积脑梗死与阻塞性睡眠呼吸暂停综合征的关系[J].国际医药卫生导报,2017,23(16):2520-2523,4.基金项目
Medical Science and Technology Research Fund Program of Guangdong Province (B2015141)广东省医学科学技术研究基金项目(B2015141) (B2015141)