前言目的 观察鼾症对冠心病病人的影响。方法52例病人分为两组,26例鼾症合并冠心病病人（A组,鼾症组）与26例非鼾症冠心病病人（B组,非鼾症组）进行观察,比较两组间血压昼夜节律,夜间平均血氧饱和度及夜间最低血氧饱和度、心肌缺血次数等指标。同时比较鼾症组部分病人经鼻持续气道正压通气（nCPAP）治疗前后各项指标。结果 鼾症组中肥胖、高血压人数高于非鼾症组人数,冠心病发病年龄早于非鼾症组,易发生血压昼夜节律消失,夜间平均SaO2及夜间最低SaO2明显低于非鼾症组,鼾症组冠心病心肌缺血使用硝酸酯类扩冠药物疗效不佳,nCPAP有助于改善鼾症组病人病情。结论 鼾症与高血压、冠心病有密切的相关性,经鼻持续气道正压通气治疗冠心病合并鼾症有效。
ObjectiveToinvestigatetheeffectofsnoreonthepatientswithcoronaryheartdisease.MethodsFiftytwopatientswithcoronaryheartdiseaseweredividedintosnoregroup（groupA,26cases）andnonsnoregroup（groupB,26cases）.ThecontinuousHolterEKG,bloodpressure,SaO2measurement,thedaytonightrhythmofBP,theaverageSaO2atnight,thelowestSaO2atnight,thetimesofmyocardialischemiawerecomparedbetweenthetwogroupsaswellasbeforeandafternasalcontinuouspositiveairway...
