论文部分内容阅读
目的 探讨慢性扁桃体炎扁桃体肥大Ⅱ度以上对睡眠呼吸及机体的影响。方法 对入选的 2 7例病例进行一整夜 7小时以上的多导睡眠监测 ,记录分析SP0 2 ,呼吸紊乱指数 ,微觉醒指数 ,睡眠结构等指标。结果 2 7例患者PSG检查均符合阻塞性睡眠呼吸暂停低通气综合征 ,AHl72 .4± 2 2 .3 ,睡时最低SPO2 (% ) 61 .5± 1 9.9,△SPO2(% ) 37± 1 3 .5 ,睡眠结构中Ⅰ (% ) 1 6 .74± 9.6 ,Ⅱ (% ) 584± 2 3 .1。结论 慢性扁桃体炎扁桃体肥大Ⅱ度以上患者均有中重度的睡眠呼吸暂停 ,夜间睡眠低氧血症 ,出现睡眠结构紊乱以ⅠⅡ期睡眠为主。
Objective To investigate the effects of chronic tonsillitis with tonsil hypertrophy on sleep and respiratory and organism. Methods A total of 27 selected cases were monitored for polysomnography for more than 7 hours overnight. The SP0 2, respiratory disturbance index, arousal index and sleep structure were recorded and analyzed. Results The PSG of 27 patients were consistent with obstructive sleep apnea-hypopnea syndrome, AH1 72.4 ± 22.3, lowest SPO2 (%) 61.5 ± 1 9.9, △ SPO2 (%) 37 ± 1 3 .5, sleep structure Ⅰ (%) 1 6 .74 ± 9.6, Ⅱ (%) 584 ± 2 3 .1. Conclusions Patients with chronic tonsillitis and tonsil hypertrophy above grade II have moderate to severe sleep apnea and nocturnal hypoxemia, and sleep disturbance mainly occurs in stage I and II.