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作者从2002年起采用国产多导睡眠监测仪(PSG)对阻塞性睡眠呼吸暂停低通气综合症(OSAHS)实施监测,检查结果发现:半数以上患者其呼吸紊乱指数以达重型OSAHS水平,而血氧饱和度以中等度缺氧较多,氧饱和度和呼吸紊乱指数并不成正比关系。180例病人中阻塞低通气型129例(71.66%),混合型40例(22.22%),中枢型11例(6.1%)。OSAHS治疗前后PSG变化明显。无论何种手术一旦缺氧改善,憋气大多消失,患者自觉症状明显改善。作者认为PSG作为筛选和动态观察OSAHS是一个敏感指标,是OSAHS诊断的唯一标准,而且能指导治疗选择和预后的观察指标。临床上有一定价值,PSG监测是开展OSAHS手术单位的必要的理想的购置品,由于它具有客观性和可操作性是,防止医患矛盾和纠纷所必需。
The authors monitored obstructive sleep apnea-hypopnea syndrome (OSAHS) using a home-made polysomnography (PSG) since 2002. The results showed that more than half of the patients had their respiratory disorder index at the level of severe OSAHS and that blood Oxygen saturation to moderate hypoxia more, oxygen saturation and respiratory index is not directly proportional relationship. Among the 180 patients, 129 (71.66%) had hypoventilation, 40 (22.22%) had mixed hypoventilation and 11 (6.1%) had central hypoventilation. The change of PSG before and after OSAHS treatment is obvious. No matter what kind of surgery to improve anoxia, suffocation most of the disappearance of patients with symptoms improved significantly. The authors believe that PSG as a screening and dynamic observation of OSAHS is a sensitive indicator of OSAHS diagnosis is the only standard, and can guide the choice of treatment and prognosis of the indicators. Clinical value, PSG monitoring is the necessary ideal purchase of OSAHS surgical units, because of its objectivity and operability is necessary to prevent contradictions and disputes doctors and patients.