中国现代医生2025,Vol.63Issue(2):5-8,4.DOI:10.3969/j.issn.1673-9701.2025.02.002
颈动脉粥样硬化与高血压合并OSAHS相关性研究
Study on correlation between carotid atherosclerosis and hypertension combined with OSAHS
摘要
Abstract
Objective To analyze the relationship between hypertension combined with obstructive sleep apnea hypopnea syndrome(OSAHS)and intima-media thickness(IMT)and explore the correlation between the risk of IMT and hypertension with OSAHS patients.Methods Select 50 patients with hypertension and OSAHS patients who were treated in Jiaxing Hospital of Traditional Chinese Medicine during January 2020 to February 2024 as observation group,while 50 patients with simple hypertension were used as control groups to collect two groups of patients'sleep respiratory monitoring disorders(AHI),lowest blood oxygen saturation(L-SaO2)at night,average hemodium oxygen saturation(M-SaO2)at night,dynamic blood pressure 24h,daytime and night's average diastolic blood pressure,IMT,conducting relevant statistical analysis,compares correlation between IMT of two groups and the severity of OSAHS.Results Compared with control group,observation group AHI,IMT,average systolic blood pressure voltage and average diastolic blood pressure increased significantly(P<0.01),L-SaO2,M-SaO2 decreased significantly(P<0.01).Observation group AHI and average systolic blood voltage and average diastolic pressure of average systolic blood pressure at 24h,daytime,and night were positively correlated(P<0.01),L-SaO2,24h and daytime average contraction pressure were negatively correlated(P<0.05).Observation group AHI and IMT were positive,and L-SaO2,M-SaO2 and IMT were negatively related(P<0.01).Conclusion Severity of the disease of hypertension combined with OSAHS patients is closely related to patient's blood pressure level and change of IMT.Actively controlling blood pressure and IMT may help improve prognosis of patients,reduce the occurrence of cardiovascular events.The prognostic evaluation has certain clinical value.关键词
高血压/阻塞性睡眠呼吸暂停低通气综合征/呼吸紊乱指数/颈动脉中内膜厚度Key words
Hypertension/Obstructive sleep apnea and low ventilation syndrome/Apnea hyponea index/Intima-media thickness分类
医药卫生引用本文复制引用
刘金涛,何明,胡艳艳,王振,曾奋飞,李秋菊..颈动脉粥样硬化与高血压合并OSAHS相关性研究[J].中国现代医生,2025,63(2):5-8,4.基金项目
国家中医药管理局方水林全国名老中医药专家传承工作室(人教发[2016]42号) (人教发[2016]42号)
第二批嘉兴市中医药重点学科支撑类项目(中医内科学)(嘉卫[2023]65号-3) (中医内科学)