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目的 :分析和总结阻塞性睡眠呼吸暂停综合征 (OSAS)的临床特征和经鼻持续性气道正压通气 (CPAP)治疗的效果。方法 :对 145例OSAS的临床资料和 44例应用CPAP治疗的资料进行统计分析。结果 :145例OSAS中10 0 %有打鼾 ,6 0 %有夜间憋醒 ,5 1%白天嗜睡 ,40 .7%有记忆力减退 ,40 %有夜间轻度低氧血症 ,42 %有中度低氧血症 ,18%有重度低氧血症。 44例应用CPAP治疗后 ,38例打鼾症状消失 ,临床症状好转。 2例疗效不佳 ,4例不能耐受。结论 :打鼾、夜间憋醒是OSAS的主要临床表现 ,CPAP是治疗OSAS的一种有效治疗方法。
Objective: To analyze and summarize the clinical features of obstructive sleep apnea syndrome (OSAS) and the effect of nasal continuous positive airway pressure (CPAP) therapy. Methods: The clinical data of 145 patients with OSAS and the data of 44 patients treated with CPAP were statistically analyzed. RESULTS: One hundred and fifty percent of 145 OSAS had snoring, 60% had nighttime arousal, 51% daytime lethargy, 40.7% had memory loss, 40% had nocturnal mild hypoxemia and 42% had moderate Hypoxemia, 18% have severe hypoxemia. Forty-four cases of CPAP treatment, snoring symptoms disappeared in 38 cases, clinical symptoms improved. 2 cases of poor efficacy, 4 cases can not tolerate. Conclusion: Snoring and arousal at night are the main clinical manifestations of OSAS. CPAP is an effective treatment for OSAS.