阻塞性睡眠呼吸暂停低通气综合征与颈围等指标之间的关系研究

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目的了解正常人和OSAHS患者BMI、颈围、腹围、腰围、臀围、腰/臀围比值的差异以及OSAHS患者的上述指标与AHI、BSao2及LSao2的关系,探讨OSAHS与上述指标之间的关系。方法精确测量60例OSAHS患者和70例健康体检者的身高、体重、颈围、腹围、腰围、臀围,计算腰/臀围比值、BMI。PSG测定OSAHS患者AHI、LSao2及BSao2。分析各指标与AHI、LSao2及BSao2的关系。结果 (1)OSAHS组各指标比正常对照组高,差异有统计学意义;(2)OSAHS患者中超体重亚组各指标显著高于正常体重亚组;(3)OSAHS组BMI与AHI正相关,与LSao2、BSao2负相关;(4)OSAHS重度组腹围等指标高于其他亚组。结论颈围、腹围、腰围、臀围、腰/臀围水平可作为判断OSAHS病情的一种参考指标。 Objective To investigate the differences of BMI, neck circumference, abdominal circumference, waist circumference, hip circumference, waist / hip ratio between normal subjects and patients with OSAHS and the relationship between the above indexes and AHI, BSao2 and LSao2 in patients with OSAHS and to explore the relationship between OSAHS and the above indexes relationship. Methods The height, weight, neck circumference, abdominal circumference, waist circumference and hip circumference of 60 OSAHS patients and 70 healthy people were measured accurately. The ratio of waist / hip circumference, BMI were calculated. PSG determination of OSAHS patients AHI, LSao2 and BSao2. The relationship between each index and AHI, LSao2 and BSao2 was analyzed. Results (1) The indexes in OSAHS group were higher than those in normal control group, and the difference was statistically significant. (2) The indexes of overweight group were significantly higher in OSAHS patients than in normal weight group. (3) BMI was positively correlated with AHI in OSAHS group, And LSao2, BSao2 negative correlation; (4) OSAHS severe group abdominal circumference and other indicators than other subgroups. Conclusion Neck circumference, abdominal circumference, waist circumference, hip circumference, waist / hip circumference can be used as a reference index to judge the OSAHS condition.
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