HRV Change in Obstructive Sleep Apnea Syndrome_West China Medical Journal

Authors：

WANG Yongsheng ¹ , LI Kai ² , LIANG Zongan. ³

1. Chengdu 363 Hospital, Chengdu 610041; 2. Respiratory Department of Chengdu 3rd People’s Hospital, Chengdu 610031;3. Department of Respiratory,West China Hospital,Sichuan University, Chengdu 610041,China;

Corresponding?author：

Keywords：

睡眠呼吸暫停; 心律失常; 多導睡眠圖; 動態心電圖; 心率變異性

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目的:了解阻塞性睡眠呼吸暫停綜合征患者的心率變異改變。方法:對67例睡眠打鼾患者同步進行24小時動態心電圖及多導睡眠圖監測。根據PSG檢測結果分為OSAS組和單純鼾癥組,比較組間低頻峰(LF),高頻峰(HF),低頻峰與高頻峰的比值(LF/HF),正常RR間期平均值及其標準差值(SDNN),正常RR間期差值均方根(rMSSD)。結果:OSAS組中,頻域分析指標:LF,HF,均低于單純鼾癥組,LF/HF高于對照組,時域分析指標:SDNN,rMSSD均低于對照組。結論:OSAHS患者心率變異性降低。

Citation： WANG Yongsheng,LI Kai,LIANG Zongan.. HRV Change in Obstructive Sleep Apnea Syndrome. West China Medical Journal, 2009, 24(6): 1439-1441. doi: Copy

1.	中華醫學會呼吸病學分會睡眠呼吸疾病學組. 阻塞性睡眠呼吸暫停低通氣綜合征診治指南(草案)[J].中華結核和呼吸雜志, 2002, 25(10):195-198.
2.	HE J KRYGER MH, ZORICK FJ, et al. Mortality and apnea index in obstructive sleep apnea: experience in 385 male patients[J].Chest., 1988, 94(2):9-14.
3.	范潔, 郭兮恒, 黃席珍，等. 阻塞性睡眠呼吸暫停綜合征與心率變異及心律失常[J].中華結核和呼吸雜志, 1997, 20(3): 178.
4.	LF STRAMBI, M ZUCCONI, A OLDANI, et al. Heart rate variability during sleep in snorers with and without obstructive sleep apnea[J]. Chest, 1992, 102(1):1023-1027.
5.	WIKLUND. Cardiac Rhythm Disturbances and STSegment Depression Episodes in Patients with Obstructive Sleep ApneaHypopnea Syndrome and Its Mechanisms[J]. Chest, 2005, 127(4): 15-22.
6.	KHOO. Metabolic syndrome and sleep apnoea: all proinflammatory states[J]. Obes Rev, 2007, 8(2): 119-27.

1. 中華醫學會呼吸病學分會睡眠呼吸疾病學組. 阻塞性睡眠呼吸暫停低通氣綜合征診治指南(草案)[J].中華結核和呼吸雜志, 2002, 25(10):195-198.
2. HE J KRYGER MH, ZORICK FJ, et al. Mortality and apnea index in obstructive sleep apnea: experience in 385 male patients[J].Chest., 1988, 94(2):9-14.
3. 范潔, 郭兮恒, 黃席珍，等. 阻塞性睡眠呼吸暫停綜合征與心率變異及心律失常[J].中華結核和呼吸雜志, 1997, 20(3): 178.
4. LF STRAMBI, M ZUCCONI, A OLDANI, et al. Heart rate variability during sleep in snorers with and without obstructive sleep apnea[J]. Chest, 1992, 102(1):1023-1027.
5. WIKLUND. Cardiac Rhythm Disturbances and STSegment Depression Episodes in Patients with Obstructive Sleep ApneaHypopnea Syndrome and Its Mechanisms[J]. Chest, 2005, 127(4): 15-22.
6. KHOO. Metabolic syndrome and sleep apnoea: all proinflammatory states[J]. Obes Rev, 2007, 8(2): 119-27.

West China Medical Journal

HRV Change in Obstructive Sleep Apnea Syndrome

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