Objective To explore the diagnosis and treatment of critically ill patients suffering from obstructive sleep apnea-hypopnea syndrome ( OSAHS) . Methods Critically ill patients with OSAHS admitted in intensive care unit from January 2003 to December 2007 were retrospectively analyzed. Results Seventy-nine critically ill patients were diagnosed as OSAHS. The initial diagnosis of OSAHS was made by history requiring, physical examination, and Epworth sleepiness score evaluation. The final diagnosis was comfirmed by polysomnography thereafter. Base on the treatment of primary critical diseases, the patients were given respiratory support either with continuous positive airway pressure ( CPAP) or with bi-level positive airway pressure ventilation ( BiPAP) . Two cases died and the remaining 77 patients were cured and
discharged. Conclusions Timely diagnosis of OSAHS is important to rescue the critically ill patients. Respiratory support combined with treatment of primary critical diseases can improve the outcomes of these patients.
Citation：
XU Zhiqiang,LI Yongfeng,LI Baojun,HAN Peng,LIAN Xiaofeng,CHAO Yaoshuo,ZHANG Hefeng.. Clinical Study on Critically Ill PatientsSuffering from Obstructive Sleep Apnea-Hypopnea Syndrome. Chinese Journal of Respiratory and Critical Care Medicine, 2010, 9(5): 504-507. doi:
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Copyright © the editorial department of Chinese Journal of Respiratory and Critical Care Medicine of West China Medical Publisher. All rights reserved
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Johns MW. A new method of measuring daytime sleepiness: the Epworth sleepiness scale. Sleep, 1991, 14: 540 -545.
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Stachon A, Segbers E, Hering S, et al. A laboratory-based risk score for medical intensive care patiens. Clin Chem Lab Med, 2008, 46 :855-862.
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孟新科, 邓跃林. APACHE Ⅱ与SAPS Ⅱ评分系统对急诊内科危重患者病情评估价值的比较. 中国危重病急救医学, 2001, 13 :751-755.
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何权瀛. 再论阻塞性睡眠呼吸暂停低通气综合征可以引发呼吸衰竭. 中华结核和呼吸杂志, 2009 , 32 : 60-61.
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Lofaso F, Coste A, d′Ortho MP, et al. Nasal obstruction as a risk factor for sleep apnoea syndrome. Eur Respir J, 2000, 16: 639-643.
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王艳姣, 杨宇, 刘幼硕, 等. 采用肥胖参数筛查和诊断老年男性阻塞性睡眠呼吸暂停低通气综合征的研究. 中华老年医学杂志, 2009, 28: 824-827 .
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刘军祥. Epworth 嗜睡量表在阻塞性睡眠呼吸暂停低通气综合征诊断中的应用. 医学信息, 2006 , 19 : 1809-1811.
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叶寰, 郭兮恒. 阻塞性睡眠呼吸暂停低通气综合征患者睡眠过程中呼吸力学的变化. 中华结核和呼吸杂志, 2008, 31: 26-31.
|
| 11. |
陈飞鹏, 俞朝贤, 陈晓军, 等. 慢性阻塞性肺疾病及阻塞性睡眠呼吸暂停低通气综合征患者呼吸阻抗和睡眠呼吸紊乱的研究.中国综合临床, 2008, 24: 855-857 .
|
| 12. |
王茂筠, 雷飞, 梁宗安, 等. 肥胖低通气综合征合并阻塞性睡眠呼吸暂停低通气综合征临床分析. 中国呼吸与危重监护杂志,2005, 4: 236 -237.
|
| 13. |
肖毅. 重视肥胖低通气综合征. 中华内科杂志, 2009, 48: 356 -357.
|
- 1. Johns MW. A new method of measuring daytime sleepiness: the Epworth sleepiness scale. Sleep, 1991, 14: 540 -545.
- 2. 中华医学会呼吸病学分会睡眠呼吸疾病学组. 阻塞性睡眠呼吸暂停低通气综合征诊治指南( 草案) . 中华内科杂志, 2003, 42 :594-597.
- 3. 陈灏珠. 实用内科学( 第12 版) : 危重病与危重病人监护. 北京:人民卫生出版社, 2005: 238.
- 4. Stachon A, Segbers E, Hering S, et al. A laboratory-based risk score for medical intensive care patiens. Clin Chem Lab Med, 2008, 46 :855-862.
- 5. 孟新科, 邓跃林. APACHE Ⅱ与SAPS Ⅱ评分系统对急诊内科危重患者病情评估价值的比较. 中国危重病急救医学, 2001, 13 :751-755.
- 6. 何权瀛. 再论阻塞性睡眠呼吸暂停低通气综合征可以引发呼吸衰竭. 中华结核和呼吸杂志, 2009 , 32 : 60-61.
- 7. Lofaso F, Coste A, d′Ortho MP, et al. Nasal obstruction as a risk factor for sleep apnoea syndrome. Eur Respir J, 2000, 16: 639-643.
- 8. 王艳姣, 杨宇, 刘幼硕, 等. 采用肥胖参数筛查和诊断老年男性阻塞性睡眠呼吸暂停低通气综合征的研究. 中华老年医学杂志, 2009, 28: 824-827 .
- 9. 刘军祥. Epworth 嗜睡量表在阻塞性睡眠呼吸暂停低通气综合征诊断中的应用. 医学信息, 2006 , 19 : 1809-1811.
- 10. 叶寰, 郭兮恒. 阻塞性睡眠呼吸暂停低通气综合征患者睡眠过程中呼吸力学的变化. 中华结核和呼吸杂志, 2008, 31: 26-31.
- 11. 陈飞鹏, 俞朝贤, 陈晓军, 等. 慢性阻塞性肺疾病及阻塞性睡眠呼吸暂停低通气综合征患者呼吸阻抗和睡眠呼吸紊乱的研究.中国综合临床, 2008, 24: 855-857 .
- 12. 王茂筠, 雷飞, 梁宗安, 等. 肥胖低通气综合征合并阻塞性睡眠呼吸暂停低通气综合征临床分析. 中国呼吸与危重监护杂志,2005, 4: 236 -237.
- 13. 肖毅. 重视肥胖低通气综合征. 中华内科杂志, 2009, 48: 356 -357.
