慢性病学杂志2023,Vol.24Issue(1) :31-33.DOI:10.16440/J.CNKI.1674-8166.2023.01.07

阻塞性睡眠呼吸暂停低通气综合征患者尿酸水平与颈动脉内膜中层厚度的相关性

Correlation between uric acid levels and carotid intima-media thickness in patients with obstructive sleep apnoea-hypopnea syndrome

周梦阁 陈光辉
慢性病学杂志2023,Vol.24Issue(1) :31-33.DOI:10.16440/J.CNKI.1674-8166.2023.01.07

阻塞性睡眠呼吸暂停低通气综合征患者尿酸水平与颈动脉内膜中层厚度的相关性

Correlation between uric acid levels and carotid intima-media thickness in patients with obstructive sleep apnoea-hypopnea syndrome

周梦阁 1陈光辉2
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作者信息

  • 1. 锦州医科大学十堰市人民医院培养基地,湖北 442000;湖北医药学院附属人民医院神经内科
  • 2. 湖北医药学院附属人民医院神经内科
  • 折叠

摘要

目的 探讨阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)患者尿酸水平与颈动脉内膜中层厚度(carotid intima-media thickness,CIMT)的关系.方法 选取 2020年 1月-2021年 8月在十堰市人民医院行多导睡眠检测(polysomnography,PSG)的116例患者作为研究对象,所有患者均行颈动脉超声检查.依据呼吸暂停低通气指数(apnea-hypopnea index,AHI)分为OSAHS组(101例)和对照组(15例),OSAHS组进一步分为轻、中、重度OSAHS组;比较两组患者CIMI情况、传统危险因素及血脂、肾功能等指标.采用Pearson相关性分析评估尿酸与颈动脉内膜增厚的相关性.结果 对照组与OSAHS组AHI、最低血氧饱和度(lowest SaO2,LSaO2)、尿酸、体质量指数(body mass index,BMI)、低密度脂蛋白胆固醇(low density lipoprotein cholesterol,LDL-C)、CIMT比较,差异有统计学意义(P<0.05);轻、中、重度OSAHS组AHI、BMI、尿酸、CIMT比较,差异有统计学意义(P<0.05).Pearson相关分析结果显示,CIMT与尿酸及AHI成正相关,差异有统计学意义(r值分别为0.608、0.312,P<0.05).结论 OSAHS患者尿酸水平随着OSAHS严重程度加重而升高,且尿酸水平与CIMT成正相关,应加强对OSAHS患者的尿酸监测,并适时干预.

Abstract

Objective To determine the association between uric acid levels and carotid intima-media thick-ness(CIMT)in patients with obstructive sleep-apnoea hypopnea syndrome(OSAHS).Methods One hundred and sixteen patients who underwent polysomnography at the Shiyan Renmin Hospital from January 2020 to August 2021 were selected.Carotid artery ultrasonography was performed on all patients.Patients were divided into OSAHS and control groups based on the apnea-hypopnea index(AHI).The OSAHS group was further divided into mild,moderate,and severe OSAHS groups.The CIMT,traditional risk fac-tors,blood lipid,and renal function were compared between the two groups.Pearsonanalysis was used to determine the relationship between the uric acid level and CIMT.Results The following were significantly different between the OSAHS and control groups:AHI;lowest SaO2;uric acid level;body mass index(BMI);and low-density lipoprotein-cholesterol concentration.There was a statistically significant difference in AHI,BMI,uric acid level,and CIMT among patients with mild,moderate,and severe OSAHS(P<0.05).Pearsonanalysis demonstrated that CIMT was positively associated with the uric acid level and AHI(r=0.608,0.312,allP<0.05).Conclusions As the uric acid level increases,the severity of OSAHS increases and correlates with CIMT thickening.The serum uric acid level should be monitored in OSAHS patients to guide intervention in a timely fashion.

关键词

睡眠呼吸暂停,阻塞性/颈动脉内膜中层厚度/尿酸

Key words

Sleep apnea,obstructive/Carotid intima-media thickness/Uric acid

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出版年

2023
慢性病学杂志

慢性病学杂志

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