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目的探讨椎!基底动脉短暂缺血发作(VB!TIA)与睡眠呼吸暂停综合征(SAS)的关系。方法将28例VB-T-A患者分为夜间频发VB!TIA组及非夜间频发VB!TIA组,于急性期进行夜间多导睡眠仪(PSG)的监测,并对SAS进行诊断与分级,用t检验及!2检验比较SAS在两组间的差异。结果28例监测结果显示SAS26例(92.8%),正常2例(7.1%)。其中夜间频繁发作组中、重度SAS12例(80%),轻度SAS3例(20%);而非夜间频繁发作组中、重度SAS1例(7.7%),轻度10例(76.9%)。两组比较有非常显著性差异(P<0.01)。结论VB!TIA患者SAS常见,尤其是夜间频繁发作的VB!TIA患者,SAS的程度重。因此,SAS与VB!TIA关系密切。
Objective To investigate the relationship between vertebrobasilar transient ischemic attack (VB! TIA) and sleep apnea syndrome (SAS). Methods 28 cases of VB-TA patients were divided into nocturnal frequency of VB! TIA group and non-nocturnal frequency of VB! TIA group. The nocturnal polysomnography (PSG) was monitored during the acute phase. SAS was diagnosed and graded. Differences between the two groups were compared using t test and! 2 test. Results 28 cases of surveillance showed that SAS26 cases (92.8%), normal 2 cases (7.1%). In the nocturnal frequent episode group, 12 (80%) were severe SAS and 3 (20%) were mild SAS, while those in severe nocturnal SAS group were 7.7% in severe SAS and 10 (76.9%) in severe non-nocturnal SAS. There was a significant difference between the two groups (P <0.01). Conclusions SAS is common in VB! TIA patients, especially in patients with VB! TIA who have frequent episodes at night. Therefore, SAS and VB! TIA are closely related.