冠心病与阻塞性睡眠呼吸暂停综合征的关系

目的：探讨冠心病（CAD）与阻塞性睡眠呼吸暂停综合征（OSAS）的关系及相应的护理措施。方法：对184例有心血管事件行冠状动脉造影的患者，在冠状动脉造影前、后进行睡眠呼吸监测，其中冠心病合并OSAS者147例（79．9％）（轻、中、重度分别为93、32、22例），单纯冠心病者37例，比较冠心病合并不同程度OSAS患者的基本情况及心血管事件的发生率，结合临床实施针对性护理及健康宣教。结果：147例冠心病合并不同程度OSAS患者及单纯冠心病患者的年龄、冠心病并存陈旧性心肌梗死率差异无统计学意义（P〉0．05），随着呼吸紊乱程度的加重，患者睡眠呼吸紊乱指数逐渐升高（P〈0．05），体重指数呈逐渐上升趋势，重度OSAS组与其它各组比较差异有统计学意义（P〈0．05）。冠心病合并不同程度OSAS患者总心血管事件发生率差异无统计学意义（P〉0．05）。结论：冠心病合并OSAS发生率高，护理上应密切观察病情，尤其是夜间病情观察，并应重视健康宣教。

Relation of coronary atherosclerosis disease to obstructive sleep apnea syndrome

Objective:To investigate the relation of coronary atherosclerosis disease (CAD) to obstructive sleep apnea syndrome (OSAS) and the corresponding nurse. Methods:One hundred eighty-four patients with cardiovascular events were monitored for sleep apnea before and after undergoing coronary angiography,in which CAD coexisting with OSAS was 147 cases (79.9%) (mild,moderate and severe patients were 93,32 and 22 cases respectively),CAD 37 cases. General basic conditions and incidences of cardiovascular events in CAD with different degrees of OSAS were compared,and targeted health care and education were implemented combining with the clinical condition. Results:Of the 147 patients with CAD coexisting with OSAS,compared the 37 patients with CAD,age,incidence of CAD complicated with old myocardial infarction were no significant differences (P>0.05); with the increasement of breathing disorder,the index of breathing disorder elevated gradually(P<0.05),body mass index showed a gradual upward trend,compared patients with severe OSAS with patients with mild and moderate OSAS,the differences were significant (P<0.05); compared the total incidences of cardiovascular events in patients of CAD with different degrees of OSAS,the differences were no significant (P>0.05). Conclusion:The incidence of CAD coexisting with OSAS is high,and closely observation should be done in nursing care,especially at night,meanwhile,health education should be stressed.