目的 探讨呼吸训练对脑梗死并发阻塞性睡眠呼吸暂停综合征(OSAS)患者睡眠呼吸参数的影响。方法 2016年3月1日至2017年8月30日,本院基底节区脑梗死并发OSAS的中青年患者60例,随机分为对照组和呼吸训练组,每组各30例。所有受试者均进行病例资料登记,接受常规药物治疗和康复治疗。呼吸训练组在此基础上接受呼吸训练,每天1次,每周5 d,共8周。干预前后采用多导睡眠监测仪各进行一次夜间睡眠呼吸监测,主要监测呼吸暂停低通气指数(AHI)、最大口腔内压、平均血氧饱和度、最低血氧饱和度、氧减指数、最低血氧饱和度持续时间以及血氧饱和度<90%和<80%时间百分比等。结果 治疗后,呼吸训练组AHI、最大口腔内压、平均血氧饱和度、最低血氧饱和度、血氧饱和度<90%时间百分比均明显优于对照组(t>3.086, P<0.01)。结论 呼吸训练可提高患者的呼吸功能,降低呼吸道阻力,有效减轻患者夜间睡眠呼吸暂停的症状,可作为脑梗死并发OSAS的康复方法之一。
Objective To investigate the effect of respiratory training on sleep breathing parameters in cerebral infarction patients complicated with obstructive sleep apnea syndrome (OSAS).Methods From March 1st, 2016 to August 30th, 2017, 60 young and middle-aged patients with cerebral infarction in basal ganglia complicated with OSAS in Wenzhou Hospital were divided into control group and respiratory training group with 30 cases in each group. All subjects underwent clinical data registration, and received conventional treatment and rehabilitation. The respiratory training group accepted manual respiratory training in addition, once a day, five times a week, for eight weeks. Before and after treatment, they were monitored to access apnea-hypopnea index (AHI), maximum oral pressure, average oxyhemoglobin saturation (SaO2), the lowest SaO2, the oxygen desaturation index, duration of lowest SaO2, and time percentages of SaO2 <90% and <80%.Results After treatment, the AHI, the maximum oral pressure, the average SaO2, the lowest SaO2 and the time percentage of SaO2 <90% were better in the respiratory training group than in the control group (t>3.086, P<0.01).Conclusion Respiratory training could improve the respiratory function, reduce the airway resistance, and relieve the nocturnal sleep apnea symptom. It may be one of the rehabilitation methods for brain injury complicated with OSAS.
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