老年人阻塞性睡眠呼吸暂停综合征与心律失常的关系
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[摘要] 目的:探讨老年人阻塞性睡眠呼吸暂停综合征(OSAS)与心律失常的关系。方法:入选的72例老年OSAS患者和23例非OSAS患者行24 h动态心电图后比较两组心律失常发生率。OSAS组按睡眠呼吸暂停/低通气指数(AHI)分轻、中、重度三组,比较三组心律失常发生率及所发生的心律失常的类型。结果:OSAS患者心律失常发生率显著高于非OSAS组(P<0.01),随病情程度加重心律失常发生率增高(P<0.05),且重度OSAS患者恶性心律失常发生率高。结论:老年人阻塞性睡眠呼吸暂停综合征(OSAS)与心律失常有很强的相关性,心律失常发生率随OSAS病情加重而增高。
[关键词] 阻塞性睡眠呼吸暂停综合征;心律失常;睡眠呼吸暂停/低通气指数
[中图分类号] R766[文献标识码]A [文章编号]1673-7210(2010)04(c)-045-02
Relationship between cardiac arrhythmia and obstructive sleep apnea syndrome of the elderly
HUANG Wei, PENG Rui
(Department of Geratology, the First People′s Hospital of Kunming City, Kunming 650100, China)
[Abstract] Objective: To investigate the relationship between cardiac arrhythmia and obstructive sleep apnea syndrome of the elderly. Methods: 72 cases of senile patients with OSAS and 23 cases of non-OSAS were selected to do Holter ECG monitoring examination. Then the incidence rate of cardiac arrhythmia between two groups was compared. The OSAS group was divided into three sub-groups according to AHI: slight, moderates and severe ......
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