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目的了解AUTO-CPAP干预对脑梗死合并OSAHS患者预后的影响。方法选择自2008年10月至2011年7月本院经CT或MRI证实无严重心、肺、肝、肾损害急性脑梗死合并OSAHS患者共100例。随机进入治疗组和对照组,只有治疗组使用Auto-CPAP。观察NIHSS评分及Barthel指数评价神经功能缺损程度和日常生活能力的改善。经过SPSS统计、分析治疗效果.结果治疗组和对照组组患者在性别、年龄相匹配(P>0.05);OSAHS中、重度患者呼吸机治疗后NIHSS评分及BI评分的改善程度大于轻度患者,差异有统计学意义(P<0.05)结论Auto-CPAP能提高中重度OSAHS患者的早期日常生活能力,减少神经功能缺损,提高回归社会的能力。
Objective To investigate the effect of AUTO-CPAP intervention on the prognosis of patients with cerebral infarction complicated with OSAHS. Methods From October 2008 to July 2011 in our hospital by CT or MRI confirmed severe heart, lung, liver and kidney damage in patients with acute cerebral infarction combined OSAHS a total of 100 cases. Randomly into the treatment group and control group, only the treatment group using Auto-CPAP. NIHSS score and Barthel index were observed to evaluate the degree of neurological deficit and the improvement of daily living ability. (P> 0.05). In OSAHS, the improvement of NIHSS score and BI score after ventilator treatment in OSAHS patients was higher than that in mild patients, (P <0.05) .Conclusion Auto-CPAP can improve early daily life ability, reduce neurological deficits and improve the ability of return to society in patients with moderate-severe OSAHS.