现代医药卫生2023，Vol.39Issue(23)：4023-4027,5.DOI:10.3969/j.issn.1009-5519.2023.23.014
老年阻塞性睡眠呼吸暂停患者睡眠监测结果与临床特征分析
Analysis of sleep monitoring results and clinical characteristics of elderly patients with obstructive sleep apnea
摘要
Abstract
Objective To explore the sleep monitoring results and clinical characteristics of elderly pa-tients with obstructive sleep apnea(OSA),improve the diagnosis and recognition rate of elderly patients with OSA,better control senile diseases and improve their quality of life.Methods From June 2019 to December 2020,a total of 261 patients in this hospital were taken as the research objects,and all of them were monitored by polysomnography(PSG).The results were in line with OSA.According to their age,they were divided into the elderly group(132 cases)and the young and middle-aged group(129 cases).The indexes related to poly-somnography[body mass index(BMI),apnea hypopnea index(AHI),oxygen deficit index(ODI),minimum blood oxygen saturation(LSaO2)and average blood oxygen saturation(ASaO2)]were compared and correla-ted with the clinical characteristics.Results The BMI and ODI of the elderly group were significantly lower than those in the young and middle-aged group,with statistical significance(P＜0.05).The symptoms of diz-ziness in the morning,tinnitus,chest tightness and shortness of breath,frequency of urination at night and complications such as overweight or obesity,hypertension,heart disease and diabetes in the elderly group were significantly higher than those in the young and middle-aged group(P＜0.05).BMI was positively correlated with ODI[correlation coefficient(r)=0.284,P＜0.001],and negatively correlated with LSaO2 and ASaO2(r=-0.237,-0.286,P＜0.01).Suffocation sensation was positively correlated with AHI(r=0.263,P=0.002)and negatively correlated with LSaO2(r=-0.194,P=0.026).The concomitant hypertension was positively correlated with AHI index and ODI(r=0.254,0.172,P＜0.05).Conclusion The clinical charac-teristics of elderly patients with OSA are not completely the same as those of young and middle-aged patients.Their clinical symptoms are not obvious,but the rate of complications is very high.Early intervention,early detection,early diagnosis and early treatment should be carried out in clinical diagnosis and treatment to im-prove the diagnosis and treatment effect of elderly diseases and the quality of life of elderly patients.关键词
阻塞性睡眠呼吸暂停/多导睡眠监测/老年人/中青年Key words
Obstructive sleep apnea/Polysomnography/Elderly/Young and middle-aged分类
医药卫生引用本文复制引用
张媛,刘永收,李瑜,秦梅,石力,查定军..老年阻塞性睡眠呼吸暂停患者睡眠监测结果与临床特征分析[J].现代医药卫生,2023,39(23):4023-4027,5.基金项目
空军军医大学第一附属医院军事医学临床应用研究课题(JSYXM13). （JSYXM13）
