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目的了解高血压患者对睡眠呼吸暂停综合征(SAS)认知情况及疑似SAS高血压患者接受多导睡眠图监测(PSG)率和确诊SAS高血压患者的治疗率。方法以解放军第94医院自2005年来516例高血压患者为研究对象,采取问诊时面对面问卷调查的方法,调查高血压患者对睡眠呼吸暂停综合征的认知及其治疗情况等相关因素。结果516例高血压患者中认为SAS是高血压危险因素的为59例,占11.4%;高学历患者对SAS是高血压危险因子的认知率明显高于低学历患者;301例可疑存在SAS的高血压患者接受PSG检查92例,占总人数的30.6%;84例确诊为中重度SAS高血压患者有37例接受经鼻无创辅助通气或手术治疗,占总人数的44.0%。结论高血压患者对SAS的认知率低,认知不足导致可疑存在SAS的高血压患者检出率低以及已确诊的高血压合并SAS患者有效的治疗率低。
Objectives To understand the cognition of sleep apnea syndrome (SAS) in hypertensive patients and the rate of polysomnography (PSG) and the treatment of patients with confirmed SAS hypertension in patients with suspected SAS hypertension. METHODS: A total of 516 hypertensive patients from the 94th Hospital of People’s Liberation Army (PLA) from 2005 to 2005 were enrolled in this study. Face-to-face questionnaires were used to investigate the cognition and treatment of hypertensive patients with sleep apnea syndrome. Results Among the 516 hypertensive patients, 59 were considered to be the risk factors for hypertension, accounting for 11.4%. The prevalence of SAS in hypertension patients was significantly higher than that of those with low education. The 301 SAS patients 92 cases of hypertensive patients received PSG examination, accounting for 30.6% of the total; 84 cases were diagnosed as moderate-severe high blood pressure in 37 patients receiving nasal non-invasive assisted ventilation or surgical treatment, the total number of 44.0%. Conclusions The prevalence of SAS in hypertensive patients is low. Cognitive deficits lead to low detectable rates of hypertension in patients with suspected SAS and low effective rates in patients with established hypertension and SAS.