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目的探讨睡眠呼吸暂停综合征(SAS)男女患者的临床特征及多导睡眠监测特点。方法根据整夜的多导睡眠图(PSG)监测结果将2004年1月至2006年6月于四川省第四人民医院睡眠呼吸疾患诊疗中心就诊的睡眠打鼾患者180例分为4组,即单纯鼾症组和轻、中、重度SAS组,对相关的临床特征及PSG监测指标进行比较。结果男性患者夜尿增多明显高于女性,差异有显著性意义(P<0.05或P<0.01),男性患者颈围明显大于同组女性(P<0.05或P<0.01)。中、重度SAS组女性患者低通气呼吸紊乱指数(HI)大于男性(P<0.05),中枢性睡眠呼吸紊乱指数(CAI)和混合性睡眠呼吸紊乱指数(MAI)明显低于同组男性(P<0.05);轻、中、重度SAS3组间血氧饱和度<90%时间(TSTSaO2<90%)男性患者数均大于女性,差异有显著性意义(P<0.05或P<0.01)。结论SAS男女患者具有不同的临床特点,在诊治过程中应考虑性别因素。
Objective To investigate the clinical features of sleep apnea syndrome (SAS) in men and women and the characteristics of polysomnography. Methods Based on overnight polysomnography (PSG) monitoring results, 180 patients with sleep-snoring patients admitted to the Fourth People’s Hospital of Sichuan Province from April 2004 to June 2006 were divided into 4 groups: simple Snoring group and mild, moderate and severe SAS group, comparing the clinical features and PSG monitoring indicators. Results The incidence of nocturia in male patients was significantly higher than that in female patients (P <0.05 or P <0.01). The neck circumference in male patients was significantly greater than that in female patients (P <0.05 or P <0.01). The SAS of females in the SAS group was significantly lower than that of the males (P <0.05), and the central sleep disturbance index (MAI) and the sleep disturbance index (MAI) in the SAS group were significantly lower than those in the male <0.05). The number of males in the mild, moderate and severe SAS3 groups with blood oxygen saturation <90% (TSTSaO2 <90%) was higher than that of the females, the difference was significant (P <0.05 or P <0.01). Conclusion SAS male and female patients have different clinical features, gender factors should be considered in the diagnosis and treatment.