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阻塞性睡眠呼吸暂停/低通气综合征(obstructive sleep apnea/hypopnea syndrome,OSAHS)是以睡眠时呼吸暂停及呼吸浅慢、胸腹活动增强、严重打鼾、白天嗜睡为特征的一种疾患,不仅引起白日嗜睡、精神混沌,导致认知功能障碍、心、肺、脑血管等器官的并发症和某些职业工作的危险性,严重危害公众健康,还可引起各种心律失常,包括严重的完全性房室阻滞、三分支阻滞、室性心动过速(室速)、心室颤动(室颤)等恶性心律失常,甚至可引起夜间猝死。动态心电图技术问世已近半个世纪,由于其不仅可以通过心率变异性检测自主神经的功能变化,而且能够通过心电图波形推导出呼吸曲线,因此国内外学者尝试应用动态心电图初筛诊断睡眠呼吸暂停综合征患者。目前主要包括两种方法,应用心电图推导的呼吸曲线法和应用心率变异性推测法。
Obstructive sleep apnea / hypopnea syndrome (OSAHS) is a disorder characterized by apnea and slow breathing, increased chest and abdomen activity, severe snoring and daytime sleepiness during sleep, which not only causes Daytime lethargy, mental chaos, lead to cognitive dysfunction, heart, lung and cerebrovascular and other organ complications and the risk of certain occupational work, seriously endanger public health, can also cause a variety of arrhythmias, including severe complete Sexual atrioventricular block, three-block, ventricular tachycardia (VT), ventricular fibrillation (VF) and other malignant arrhythmias, and even can cause sudden death at night. Holter technology has been around for almost half a century. Because it can not only detect the functional changes of autonomic nerves through heart rate variability, but also can derive the respiratory curve through the electrocardiogram waveform. Therefore, domestic and foreign scholars try to diagnose sleep apnea by dynamic electrocardiogram Levy patients. At present, mainly including two methods, the application of electrocardiogram derived respiratory curve method and the application of heart rate variability speculation.