重度OSAHS患者持续正压通气治疗前后ABR及静态姿势描记结果分析

Analysis of Severe OSAHS on ABR and PSG

皮丽宏;郭明丽;王俊阁;王荣国;郑墨荣;韩晓丽;安慧琴;苗英章;

1:河北省人民医院耳鼻咽喉科

2:煤炭总医院耳鼻咽喉科

摘要
目的观察持续正压通气(continuous positive airway pressure,CPAP)治疗对重度阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)患者听性脑干反应(ABR)及静态姿势描记(posturography,PSG)的影响。方法对32例重度OSAHS患者持续正压通气治疗前后及20例正常对照者进行ABR测试及静态姿势描记检查,比较其结果。结果重度OSAHS患者ABR波I、V潜伏期及III-V波间期比对照组延长,PSG各指标增加;CPAP治疗3月后OSAHS组ABR各波潜伏期及波间期与治疗前比较差异无统计学意义,而PSG各指标较治疗前降低,差异有统计学意义(P<0.05或<0.01)。结论重度OSAHS患者的脑干听觉传导功能受损,静态平衡能力降低,CPAP治疗有助于早期改善静态平衡功能。
关键词
睡眠呼吸暂停;阻塞性;听性脑干反应;静态姿势描记;正压通气
基金项目(Foundation):
河北省医学科学研究重点课题(20100177)
作者
皮丽宏;郭明丽;王俊阁;王荣国;郑墨荣;韩晓丽;安慧琴;苗英章;
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