首页|持续气道正压通气联合特拉唑嗪与缬沙坦对阻塞性睡眠呼吸暂停低通气综合征合并高血压患者的影响

持续气道正压通气联合特拉唑嗪与缬沙坦对阻塞性睡眠呼吸暂停低通气综合征合并高血压患者的影响

扫码查看
目的:探讨持续气道正压通气(CPAP)联合特拉唑嗪与缬沙坦对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)合并高血压患者的影响。方法:选取 2021 年1月—2022 年 1 月在莆田市第一医院治疗的 80 例OSAHS合并高血压患者。根据随机数表法分为对照组和研究组,各 40 例。两组均给予常规治疗,对照组采用特拉唑嗪联合缬沙坦治疗,研究组在对照组基础上联合持续气道正压通气(CPAP)治疗。比较两组的临床疗效、血压水平、炎症因子、氧化应激、睡眠质量、生活质量及疗效满意度。结果:研究组临床总有效率高于对照组,差异有统计学意义(P<0。05)。治疗前,两组血压水平和炎症因子指标、氧化应激指标比较,差异无统计学意义(P>0。05);治疗后,研究组收缩压(SBP)、舒张压(DBP)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、超敏C反应蛋白(hs-CRP)、血清丙二醛(MDA)低于对照组,超氧化物歧化酶(SOD)高于对照组,差异有统计学意义(P<0。05)。治疗前,两组匹兹堡睡眠质量指数(PSQI)评分、睡眠呼吸暂停生活质量指数(SAQLI)评分比较,差异无统计学意义(P>0。05);治疗后,与对照组患者相比,研究组PSQI评分低于对照组,SAQLI评分高于对照组,差异有统计学意义(P<0。05)。研究组疗效满意度高于对照组,差异有统计学意义(P<0。05)。结论:CPAP联合特拉唑嗪与缬沙坦能提升OSAHS合并高血压患者的睡眠质量及生活质量,降低患者的炎症反应和血压水平,调节患者的氧化应激水平,提升疗效及满意度。
Effects of Continuous Positive Airway Pressure Combined with Terazosin and Valsartan on Patients with Obstructive Sleep Apnea Hypopnea Syndrome Complicated with Hypertension
Objective:To investigate the effects of continuous positive airway pressure(CPAP)combined with Terazosin and Valsartan on patients with obstructive sleep apnea hypopnea syndrome(OSAHS)complicated with hypertension.Method:A total of 80 patients with OSAHS complicated with hypertension who were treated in the First Hospital of Putian from January 2021 to January 2022 were selected.They were divide int the control group and the study group according random number table method,with 40 cases in each group.Both groups were given conventional treatment,the control group was treated with Terazosin combined with Valsartan,and the study group was treated with CPAP based on the control group.The clinical efficacy,blood pressure level,inflammatory factors,oxidative stress,sleep quality,quality of life and efficacy satisfaction were compared between the two groups.Result:The total clinical effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in blood pressure,inflammatory factors and oxidative stress between the two groups(P>0.05).After treatment,systolic blood pressure(SBP),diastolic blood pressure(DBP),interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),hypersensitive C-reactive protein(hs-CRP)and serum malondialdehyde(MDA)in the study group were lower than those in the control group,and superoxide dismutase(SOD)was higher than that in the control group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in Pittsburgh sleep quality index(PSQI)score and sleep apnea quality of life index(SAQLI)score between the two groups(P>0.05).After treatment,PSQI score of the study group was lower than that of the control group,and SAQLI score was higher than that of the control group,the differences were statistically significant(P<0.05).The therapeutic satisfaction of the study group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion:CPAP combined with Terazosin and Valsartan can improve the sleep quality and quality of life of patients with OSAHS complicated hypertension,reduce the inflammatory response and blood pressure levels of patients,regulate the oxidative stress level of patients,and improve the efficacy and satisfaction.

Continuous positive airway pressureTerazosinValsartanObstructive sleep apnea hypopnea syndromeQuality of sleep

郑勋伯、陈志斌、陈晨腾

展开 >

莆田市第一医院 福建 莆田 351100

持续气道正压通气 特拉唑嗪 缬沙坦 阻塞性睡眠呼吸暂停低通气综合征 睡眠质量

莆田学院校内科研项目

2021058

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(10)
  • 13