阻塞性睡眠呼吸暂停低通气综合征的性别差异及临床特点

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目的:通过对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的流行病学调查及(PSG)监测,了解女性患者不同于男性患者的临床特点。方法:比较OSAHS男、女性患者之间多项指标及多导睡眠监测记录。参考美国睡眠医学会(1999)及中华医学会耳鼻咽喉科学分会(2002)推荐的杭州诊断标准,应用SPSS11.0进行统计学处理。结果:女性患者平均年龄为(53.4±15.8)岁,男性患者平均年龄为(41.6±20.2)岁,年龄差异有统计学意义(P<0.05)。平均体质指数与男性患者比较,差异无统计学意义。女性患者AHI为32.8±12.6,男性患者为49.9±25.8,差异有统计学意义(P<0.05),女性患者平均最低血氧饱和度为(70.0±11.1)%,男性患者为(71.0±12.2)%,差异无统计学意义。结论:女性SAHS患者年龄大于男性患者,平均AHI较男性患者低,以低通气为主。 OBJECTIVE: To understand the clinical characteristics of female patients different from male patients by epidemiological survey and PSG monitoring in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS). Methods: Multiple indicators and polysomnography monitoring records between male and female OSAHS patients were compared. Reference to the American Society of Sleep Medicine (1999) and the Chinese Medical Association Otolaryngology Branch (2002) recommended Hangzhou diagnostic criteria, the application of SPSS11.0 for statistical analysis. Results: The average age of female patients was (53.4 ± 15.8) years. The average age of male patients was (41.6 ± 20.2) years old. The difference was statistically significant (P <0.05). The average body mass index and male patients, the difference was not statistically significant. The average AHI was 32.8 ± 12.6 in female patients and 49.9 ± 25.8 in male patients (P <0.05). The average minimum oxygen saturation in female patients was (70.0 ± 11.1)% and in male patients was (71.0 ± 12.2) %,The difference was not statistically significant. Conclusions: Female patients with SAHS are older than male patients. The mean AHI is lower than that of male patients, with low ventilation prevalence.
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