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題 名 | 慢性腎衰竭之睡眠不呼吸症候群 |
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作 者 | 葉瑞圻; 李坤泰; 陳漢湘; 王敏慧; 吳志仁; 林清基; | 書刊名 | 中華民國腎臟醫學會雜誌 |
卷 期 | 8:4 1994.12[民83.12] |
頁 次 | 頁232-237 |
分類號 | 415.815 |
關鍵詞 | Sleep apnea syndrome; Chronic renal failure; Polysomnography; Respiratory disturbance index; Desaturation event frequency; |
語 文 | 中文(Chinese) |
中文摘要 | 為評估慢性腎衰竭怠者併發睡眠不呼吸症候群之盛行率,及造成睡眠不呼吸症候群的可能因素,我們收集 28位經證實為慢性腎衰竭患者。所有病患都接受睡眠多項生理撿查 (po1ysomnography) 、動脈血氣體分析及血清生化、甲狀腺功能測驗。所有病患被區分為 3 組:組 I(無睡眠不呼吸症候群)(呼吸障礙指數小於 5),組 II(輕微睡眠不呼吸症候候)(呼吸障礙指數居5至20之間),組III(中度至重皮睡眠不呼吸症候群)(呼吸障礙指數大於 520) 。我們的結果是28位病患中有21位(75%)罹患睡眠不呼吸症候群;所有糖尿病患者 (7 位) 都有睡眠不呼吸症候群(100%):所有病患經按查都有打鼾現象。睡眠不呼吸症候群的嚴重度與動脈血氧飽合度值 (P<0.OO5) 及動且在血氧去飽合指數(P<0.OOO5) 都有相關;但與年齡、標準體重的差異,血液生化及甲狀腺功能檢查無關。 打鼾指數值 II 與組 III 同有統計學上差異 (P<0.05), 而罹患睡眠不呼吸症候群患者的臨床症狀與慢性腎衰竭嚴重度間似乎沒有相關性。我們的結論是:(1)慢性腎袁竭患者有高比例的睡眠不呼吸症候群。(2)糖尿病患者有極高比例出現睡眠不呼吸症候群。(3) 睡眠不呼吸症候群越嚴重患者其夜間血氧低下現象越明顯且打鼾指數越高。(4)年齡與理想體重的差異和睡眠不呼吸症候群無關。 |
英文摘要 | To evaluate the prevalence of sleep apnea syndrome (SAS) in patients with chronic renal failure (CRF) and the possible factors predisposing to the sleep-related breathing disorder in CRF patients, we studied 28 patients with proven chronic renal failure. All patients participated in an overnight sleep study involving polysomnography (Grass 78), arterial blood gas determination, and biochemistry and thyroid profile examinations. The patients were divided into 3 groups: group I (without SAS and apnea index (AI) <5), group II (mild SAS with 5 < AI < 20) and group III (moderate to severe SAS with AI > 20). Our results showed that twenty of 28 (75%) patients had proven obstructive sleep apnea (OSAS). All DM patients (seven of 28) had proven OSAS. All CRF patients were snorers. The severity of SAS correlated with the lowest Sa02 and desaturation event frequency (DEF) , but not with age, percentage of ideal body weight, blood biochemistry, and thyroid function studies. There was a significant differencr in the snoring indx between groups II and Ill but no relationship between CRF symptoms and the severity of OSAS were found. Finally, we conclude the following: (1) a high incidence of CRF patients. developing SAS;(2) a very high correlation with SAS in DM patients;(3) severer the sleep apnea syndrome, severer the nocturnal hypoxemia and snoring index;(4) age and body weight being not related to the development of SAS in CRF patients. |
本系統中英文摘要資訊取自各篇刊載內容。