【摘 要】
：
目的 分析急性冠状动脉综合征(acute coronary syndrome,ACS)合并快速眼动期(rapid eye movementperiod,REM)阻塞性睡眠呼吸暂停(obstructive sleep apnea,OSA)患者的临床资料特点,并探究其相关危险因素.方法 入选2019年5月至2019年12月于安徽医科大学附属省立医院心内科住院的ACS的患者,所有患者均采用Watch-PAT完成床边睡眠呼吸监测.根据发生在REM的睡眠呼吸低通气指数(apnea hypopnea index du
【机 构】
：
亳州市人民医院心内科,安徽亳州236800;安徽医科大学附属安徽省立医院心内科,合肥230000
论文部分内容阅读
目的 分析急性冠状动脉综合征(acute coronary syndrome,ACS)合并快速眼动期(rapid eye movementperiod,REM)阻塞性睡眠呼吸暂停(obstructive sleep apnea,OSA)患者的临床资料特点,并探究其相关危险因素.方法 入选2019年5月至2019年12月于安徽医科大学附属省立医院心内科住院的ACS的患者,所有患者均采用Watch-PAT完成床边睡眠呼吸监测.根据发生在REM的睡眠呼吸低通气指数(apnea hypopnea index during rapid eye movement period,REM-AHI)将患者分为两组,即REM-OSA组(REM-AHI≥15)和非REM-OSA组(REM-AHI<15).收集两组患者的基线资料,包括一般临床资料、实验室检查以及睡眠监测资料.结果 共计纳入205例患者,其中REM-OSA组151例(73.7％),非REM-OSA组54例(26.3％).REM-OSA组患者体质量指数(body mass index,BMI)、白细胞总数、血清三酰甘油(triglyceride,TG)及左心室舒张末期内径(left ventricle end-diastolic diameter,LVEDD)均高于非REM-OSA组,差异有统计学意义(均P<0.05).Logis-tic回归分析显示TG、LVEDD是ACS患者合并REM-OSA的危险因素.结论 ACS患者合并REM-OSA比例较高.TG、LVEDD是ACS患者合并REM-OSA的危险因素.
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