首页|低温等离子同期多平面联合纳洛酮对老年重症OSAHS患者血气指标水平的影响

低温等离子同期多平面联合纳洛酮对老年重症OSAHS患者血气指标水平的影响

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目的 探究低温等离子同期多平面联合纳洛酮对老年重症阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者血气指标水平的影响。方法 选取104例OSAHS患者,随机分为对照组、研究组各52例。采用血液分析仪检测中性粒细胞、淋巴细胞、血小板细胞、网织红细胞绝对值(RET)水平,计算出中性粒细胞与淋巴细胞比值(NLR)、血小板与淋巴细胞比值(PLR),采用血气分析仪检测最大摄氧量占预计百分比(VO2max%pred)、最大摄氧量峰值占预计百分比(peakVO2max%pred)、摄氧量功率比值(VO2/WR)、二氧化碳通气当量(VE/VCO2)、动脉血氧分压(PaO2)、动脉血氧饱和度(SaO2)、pH值水平,采用夜间睡眠监测仪检测呼吸紊乱指数(AHI)、睡眠效率(SE)、微觉醒指数(MAI)水平。结果 治疗后,与对照组比较,研究组 NLR、PLR、RET、VE/VCO2、AHI、MAI 水平明显降低,VO2max%pred、peakVO2max%pred、VO2/WR、PaO2、SE、SaO2、pH 值水平明显升高(P<0。05)。结论 对老年重症OSAHS患者进行低温等离子同期多平面联合纳洛酮治疗,其炎性水平下降,心肺功能得到改善,提升了睡眠质量,血气指标获得恢复,具有较好的治疗效果。
The effect of low-temperature plasma synchronous multi plane combined with naloxone on blood gas index levels in elderly patients with severe OSAHS
Objective To explore the effect of low-temperature plasma synchronous multi plane combined with naloxone on blood gas index levels in elderly patients with severe obstructive sleep apnea hypopnea syndrome(OSAHS).Methods 104 OSAHS patients were randomly divided into control group and study group,with 52 patients in each group.Levels of neutrophils,lymphocytes,platelet cells,reticulocyte absolute value(RET)were measured using a blood analyzer,neutrophil to lymphocyte ratio(NLR)and platelet to lymphocyte ratio(PLR)were calculated,blood gas analyzer was used to detect the estimated percentage of maximum oxygen consumption(VO2 max%pred),maximum peak oxygen consumption(peakVO2max%pred),oxygen intake power ratio(VO2/WR),carbon dioxide ventilation equivalent(VE/VCO2),arterial partial oxygen pressure(PaO2),arterial oxygen saturation(SaO2),pH level,apnea-hypopnea index(AHI),sleep efficiency(SE),and microwake index(MAI)levels were detected using a night sleep monitor.Results After treatment,compared with the control group,NLR,PLR,RET,VE/VCO2,AHI,MAI levels were significant-ly decreased,VO2max%pred,peakVO2max%pred,VO2/WR,PaO2,SE,SaO2 and pH levels were significantly increased in study group(P<0.05).Conclusions Elderly patients with severe OSAHS which treated by hypothermic plasma simultaneous multiplane combined with naloxone,the inflammatory level decrease,cardiopulmonary function,sleep quality are improved,and blood gas index is restored,with good treatment effect.

Obstructive sleep apnea hypopnea syndromeLow-temperature plasma synchronous multi planeNaloxoneBlood gas indicators

李丹、刘金华、廖敏

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长沙市第三医院呼吸与危重症医学科,湖南 长沙 410000

阻塞性睡眠呼吸暂停低通气综合征 低温等离子同期多平面 纳洛酮 血气指标

2025

中国老年学杂志
中国老年学学会 吉林省卫生厅

中国老年学杂志

北大核心
影响因子:1.69
ISSN:1005-9202
年,卷(期):2025.45(1)