Đặc điểm đa ký giấc ngủ, đa ký hô hấp ở bệnh nhân suy tim có ngừng thở khi ngủ

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Tác giả: Quý Châu Ngô, Thị Thu Hoài Nguyễn, Văn Hân Phạm

Ngôn ngữ: Vie

Ký hiệu phân loại: 612.1 Blood and circulation

Thông tin xuất bản: Tim mạch học Việt Nam 2022

Mô tả vật lý: 40-46

Bộ sưu tập: Metadata

ID: 392340

Thêm vào giỏ Liên kết toàn văn

Nghiên cứu mô tả cắt ngang trên 63 bệnh nhân được chẩn đoán suy tim siêu âm và đo đa ký giấc ngủ, đo đa ký hô hấp, đồng ý tham gia nghiên cứu.Kết quả và kết luận: Nghiên cứu trên 63 bệnh nhân suy tim có ngừng thở khi ngủ gồm 54 (85,7%) bệnh nhân nam và 9 (14,3%) bệnh nhân nữ. Độ tuổi trung bình của đối tượng nghiên cứu là 69,57 ± 13,08 tuổi. Nồng độ ProBNP, phân suất tống máu, thể tích và đường kính tâm thất thì tâm thu và tâm trương ở các phân nhóm suy tim khác biệt có ý nghĩa thống kê với p <
0,05. Áp lực động mạch phổi ở các nhóm phân nhóm suy tim khác biệt không có ý nghĩa thống kê với p >
0,05. Tổng thời gian ngủ trung bình là 334,8 ± 119,8 phút. Thời gian giai đoạn REM ghi nhận được dài nhất là 54 phút. Hiệu quả giấc ngủ đạt được là 64,70 ± 27,43%. Chỉ số HI và AHI ở các phân nhóm suy tim khác biệt không có ý nghĩa thống kê với p >
0,05. Tỷ lệ mức độ nặng của ngừng thở khi ngủ ở các mức độ suy tim theo phân loại EF khác biệt không có ý nghĩa thống kê với p >
0,05., Tóm tắt tiếng anh, A cross-sectional descriptive study on 63 patients diagnosed with heart failure with echocardiography and polysomnography, and spirometry, agreed to participate in the study. Results and conclusions: The study on 63 heart failure patients with sleep apnea included 54 (85.7%) male patients and 9 (14.3%) female patients. The average age of the study subjects was 69.57 ± 13.08 years old. ProBNP levels, ejection fraction, systolic and diastolic ventricular volume and diameter in the heart failure subgroups were statistically significant with p <
0.05. Pulmonary artery pressure in heart failure subgroups was not statistically significant with p >
0.05. The mean total sleep time was 334.8 ± 119.8 minutes. The longest recorded REM period was 54 minutes. The achieved sleep efficiency is 64.70 ± 27.43%. The difference between HI and AHI in heart failure subgroups was not statistically significant with p >
0.05. The rate of severity of sleep apnea in different levels of heart failure according to EF classification was not statistically significant with p >
0.05.

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