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目的探讨与冠心病合并阻塞性睡眠呼吸暂停综合征有关的影响因素。方法选取冠心病患者共80例,其中冠心病合并OSAS组患者33例,冠心病组患者47例,均进行一般情况与各指标的观察和测量。结果两组患者的体重指数、腰臀比、夜间胸痛、夜尿增多、晨起口干与嗜睡评分,和夜间出现ST压低大于0.05mV,差异均具有统计学意义(P<0.05)。结论夜尿多、夜间胸痛、肥胖病人及夜间心电图有ST压低的冠心病患者,极易合并OSAS,应及时进行睡眠检测诊断。
Objective To explore the influencing factors of coronary heart disease complicated with obstructive sleep apnea syndrome. Methods A total of 80 coronary heart disease patients were selected, including 33 patients with coronary heart disease and OSAS and 47 patients with coronary heart disease. All patients were observed and measured in general and with various indexes. Results Body mass index, waist-hip ratio, nocturnal chest pain, nocturia, morning dry mouth and sleepiness score, and ST depression at night were both higher than 0.05 mV in both groups (P <0.05). Conclusion Nocturia, nocturnal chest pain, obesity and nighttime ECG have ST-depression in patients with coronary heart disease, easily combined with OSAS, should be timely detection of sleep diagnosis.