睡眠呼吸障碍_____睡眠呼吸障碍；心律失常

睡眠呼吸障碍与心律失常的临床探讨

http://www.100md.com 《中华现代内科学杂志》 2006年第6期

睡眠呼吸障碍,,睡眠呼吸障碍；心律失常,1资料与方法,2结果,3讨论,【参考文献】

     【摘要】目的探讨呼吸障碍患者低通气时出现心律失常的发生情况，及不同类型的睡眠障碍诱发心律失常的临床特点。方法 654例患者在多导睡眠图(PSG)监测的同时，观察心电图的动态变化，并对睡眠呼吸障碍时发生心律失常的临床特点进行分析。结果睡眠障碍组发生心律失常的情况显著增加，在OSAS类型睡眠障碍时尤为显著。结论睡眠呼吸暂停越严重，心律失常的发生率越高；此时是否有必要单纯应用抗心律失常药物需要临床研究进一步探讨。

    【关键词】睡眠呼吸障碍；心律失常

    A study on relationship between obstructive sleep apnea hypopnea syndrome and cardiac arrhythmia

    LI Lei,SU Jun，ZHONG Liping.

    Liuhua Hospital,Shenzhen 518002,China

    【Abstract】 Objective To observe the relationship between obstructive sleep apnea hypopnea syndrome(OSAHS)and various kinds of cardiac arrhythmia.Methods 654 cases were examined with polysomnography and electrocardiogram while 143 patients reexamined with Holter electrocardiogram.579 OSAHS patients were divided into three groups according to their apnea types while 75 nonOSAHS patients were served as controls.Results Comparing to the control group, the patients with all kinds of OSAHS showed much more cardiac arrhythmia,especially atrioventricular block and tachycardia(P<0.01).Conclusion The patients with OSAHS are more inclined to occur cardiac arrhythmia,there is a close relationship between them.The patients with cardiac arrhythmia may get benefit from the therapy of OSAHS. ......

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