阻塞性睡眠呼吸暂停低通气综合征患者颈腰围测定的意义
he implications of determining the neck circumference and waist circumference in patients with obstructive sleep apnea-hypopnea syndrome
目的 观察阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者和正常人颈围(NC)、腰围（WC）及体重指数(BMI)的差别 方法 对50例无打鼾症状的正常人和60例OSAHS患者进行身高、体重、颈围、腰围指标的测量，并且对110例研究对象进行多导睡眠图（PSG）监测，观察呼吸紊乱指数 结果 对照组与OSAHS组被检者BMI、NC、WC的均值间差别具有统计学意义(P < 0.01) 。OSAHS组中，体重指数、颈围、腰围与低通气指数均呈正相关(r = 0.257；0.354；0.298 , P 均< 0.05) ,与睡眠中血氧饱和度最低值（LSaO2）呈负相关( r = -0.260；- 0.320；- 0.287 , P 均< 0.05)和平均血氧饱和度（MSaO2）呈负相关 ( r = -0.324, P< 0.01 ; -0.420, P < 0.01 ; -0.345 , P < 0.01)。结论 OSAHS患者BMI、NC、WC明显高于正常人, 且与病情程度呈正相关。
Objective The aim of this study was to investigate the neck circumference（NC）、waist circumference（WC）and body mass index（BMI）in patients with OSAHS and the controls. Method 60 untreated OSAHS patients, 50 controls were studied, the NC、WC、BMI was measured. To confirm the diagnosis, all the subjects underwent standard polysomnography in our sleep disorder center. Results The BMI、NC、WC had significante statistical differences between OSAHS patients and the controls（P < 0.05）. In OSAHS patients, the BMI、NC、WC was significantly correlated positively with AHI(r = 0.257; 0.354; 0.298 , P < 0.05), but correlated negatively with the lowest oxygen saturation（LSaO2）(r = -0.260; - 0.320; - 0.287 , P < 0.05)and the mean oxygen saturation(MSaO2)( r = -0.324, P< 0.01 ; -0.420, P < 0.01 ; -0.345 , P < 0.01). conclusion The BMI、NC、WC in OSAHS patients was significantly higher than the controls, and correlated with the severity of OSAHS.
林勇、王静、徐春华
临床医学内科学
阻塞性睡眠呼吸暂停低通气综合征体重指数颈围腰围
Obstructive sleep apnea-hypopnea syndromeBMIneck circumferencewaist circumference
林勇,王静,徐春华.阻塞性睡眠呼吸暂停低通气综合征患者颈腰围测定的意义[EB/OL].(2006-11-13)[2025-08-11].http://www.paper.edu.cn/releasepaper/content/200611-287.点此复制
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