儿童阻塞性睡眠呼吸暂停综合征与高血压的关系

The Relation between Obstructive Sleep Apnea Syndrome and Hypertension in Children

  • 摘要: 目的探讨儿童阻塞性睡眠呼吸暂停综合征(OSAS)患者中高血压的患病情况。方法选取90例有睡眠打鼾的儿童,实施多导睡眠监测并同步进行24 h 动态血压监测。按呼吸暂停低通气指数(AHI)分为(OSAS 组(AHI≥5次/h)和对照组(AHI<5次/h),比较两组的临床血压指数值、高血压的发病率和"非杓型"血压的情况。结果 1)OSAS 组的体质量指数(BMI)、氧减指数(ODI)和睡眠期间血氧饱和度<92%的时间(TST92%)均比对照组高(P<0.05);2)OSAS 组夜间睡眠时的收缩压(SBP)和舒张压(DBP)指数,以及白昼的收缩压指数较对照组高(P<0.05);3)OSAS 组的高血压发病率及"非杓型"血压情况比对照组多(P<0.01)。结论儿童 OSAS 与高血压密切相关,且是高血压发病的危险因素,血压多呈"非杓型"改变。

     

    Abstract: Objective To explore the prevalence of hypertension in children with obstructive sleep apnea syndrome(OSAS).Methods Ninety snoring children were enrolled and stayed in sleeping monitor unit for a night.24 h ambulatory blood pressure(ABP)monitoring and polysomnography were simultaneously carried out. The children were classified depending of Apnea Hypopnea Index(AHI≥5) as OSAS group and(AHI<5)as control.Results The body mass Index(BMI),oxygen desaturation index(ODI)and total sleep time<92% (TST92 %)in OSAS subjects were significantly higher than those of control(P<0.05).The OSAS children had a significantly higher daytime SBP,night time SBP and DBP(P<0.05).The OSAS group had a higher preva- lence of hypertension than control group(49.1% vs 10.1%,P<0.01).Conclusion OSAS is a risk factor for hypertension in children.Most of them the BP are shown as nondippers pattern.

     

/

返回文章
返回