Polysomnographic Monitoring and Nursing of Patients with Obstructive Sleep Apnea-hypoventilation Syndrome_West China Medical Journal

Authors：

YANG Yuxin ,  LI Jiping

West China College of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LI Jiping, Email: yyx876@foxmail.com

Keywords：

阻塞性睡眠呼吸暂停低通气综合征; 多导睡眠监测; 护理

Video：

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目的　总结多导睡眠监测的监测方法及护理要点。方法　2010年3月－2011年3月采用美国伟康多导睡眠呼吸监测仪对睡眠中心78例患者进行不少于7 h的整夜连续监测和护理。结果　76例患者顺利完成监测，确诊阻塞性睡眠呼吸暂停低通气综合征73例（重度17例，中度31例，轻度25例），单纯鼾症3例。1例因环境陌生、导联多无法入睡而监测失败，另1例因鼻气流导管脱落而监测失败。结论　对症有效的护理方法是多导睡眠监测得以顺利完成的根本保证。

Citation： YANG Yuxin,LI Jiping. Polysomnographic Monitoring and Nursing of Patients with Obstructive Sleep Apnea-hypoventilation Syndrome. West China Medical Journal, 2012, 27(6): 910-912. doi: Copy

1.	Young T, Skatrud J, Peppard PE. Risk factors for obstructive sleep apnea in adults[J]. JAMA, 2004, 291(16): 2013-2016.
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3.	Bearpark H, Elliott L, Grunstein R, et al. Snoring and sleep apean. A population study in Australian men[J]. Am J Rspir Crit Care Med, 1995, 151(5): 1459-1465.
4.	Levendowski DJ, Zack N, Rao S, et al. Assessment of the test -retest reliability of laboratory polysomnography[J]. Sleep Breath, 2009, 13(2): 163-167.
5.	中华医学会呼吸病学分会睡眠呼吸疾病学组. 阻塞性睡眠呼吸暂停低通气综合征诊治指南(草案)[J]. 中华结核和呼吸杂志, 2002, 25(4): 195-198.
6.	徐习, 谢红, 陈娜, 等. 多导睡眠监测病人的舒适护理[J]. 护理研究, 2006, 20(7): 1761-1762.
7.	Wetter DW, Young TB, Bidwell TR, et al. Smoking as a risk factor for sleep disordered breathing[J]. Arch Intern Med, 1994, 154(19): 2219-2224.
8.	曹振宇, 殷善开. 多导睡眠监测导联安装的几点体会[J]. 中华耳鼻咽喉头颈外科杂志, 2005, 40(6): 473.
9.	张浩亮, 于锋. 多导睡眠监测失败原因分析[J]. 实用医学志, 2005, 21(7): 705-706.
10.	Marine JM, Carrizo SJ , Vicente E, et al. Long-term cardiovascular outcomes in men with obstructive sleep apnea-hypopnea with or without treatment with continuous positive airway pressure: an observational study[J]. Lancet, 2005, 365(3): 1046-1053.
11.	Neill AM, Angus SM, Sajkov D, et al. Effects of sleep posture on upper airway stability in patients with obstructive sleep apnea[J]. Am J Respir Crit Care Med, 1997, 155(1): 199-203.
12.	Maurer JT, Stuck BA, Hein G, et al. Treatment of obstructive sleep apnea with a new vest preventing the supine position[J]. Dtsch Med Wochenschr, 2003, 128(3): 71-75.
13.	Nakano H, lkeda T, Hayashi M, et al. Effects of bady position on snoring in apneic and nonapneic snorers[J]. Sleep, 2003, 26(2): 169-172.
14.	王启荣, 古林涛. 阻塞性睡眠呼吸暂停综合征的手术治疗[J]. 山东医药, 2008, 48(13): 110-111.
15.	杨华, 梁勇. 阻塞性睡眠呼吸暂停低通气综合征的治疗与护理进展[J]. 护理学报， 2007, 14(6): 31-33.

1. 　Young T, Skatrud J, Peppard PE. Risk factors for obstructive sleep apnea in adults[J]. JAMA, 2004, 291(16): 2013-2016.
2. 　Young T, Peppard PE, Gottlied DJ. Epidemiology of obstructive sleep apean: a population health perspective[J]. Am J Rspir Crit Care Med, 2002, 165(9): 1217-1239.
3. 　Bearpark H, Elliott L, Grunstein R, et al. Snoring and sleep apean. A population study in Australian men[J]. Am J Rspir Crit Care Med, 1995, 151(5): 1459-1465.
4. 　Levendowski DJ, Zack N, Rao S, et al. Assessment of the test -retest reliability of laboratory polysomnography[J]. Sleep Breath, 2009, 13(2): 163-167.
5. 　中华医学会呼吸病学分会睡眠呼吸疾病学组. 阻塞性睡眠呼吸暂停低通气综合征诊治指南(草案)[J]. 中华结核和呼吸杂志, 2002, 25(4): 195-198.
6. 　徐习, 谢红, 陈娜, 等. 多导睡眠监测病人的舒适护理[J]. 护理研究, 2006, 20(7): 1761-1762.
7. 　Wetter DW, Young TB, Bidwell TR, et al. Smoking as a risk factor for sleep disordered breathing[J]. Arch Intern Med, 1994, 154(19): 2219-2224.
8. 　曹振宇, 殷善开. 多导睡眠监测导联安装的几点体会[J]. 中华耳鼻咽喉头颈外科杂志, 2005, 40(6): 473.
9. 　张浩亮, 于锋. 多导睡眠监测失败原因分析[J]. 实用医学志, 2005, 21(7): 705-706.
10. 　Marine JM, Carrizo SJ , Vicente E, et al. Long-term cardiovascular outcomes in men with obstructive sleep apnea-hypopnea with or without treatment with continuous positive airway pressure: an observational study[J]. Lancet, 2005, 365(3): 1046-1053.
11. 　Neill AM, Angus SM, Sajkov D, et al. Effects of sleep posture on upper airway stability in patients with obstructive sleep apnea[J]. Am J Respir Crit Care Med, 1997, 155(1): 199-203.
12. 　Maurer JT, Stuck BA, Hein G, et al. Treatment of obstructive sleep apnea with a new vest preventing the supine position[J]. Dtsch Med Wochenschr, 2003, 128(3): 71-75.
13. 　Nakano H, lkeda T, Hayashi M, et al. Effects of bady position on snoring in apneic and nonapneic snorers[J]. Sleep, 2003, 26(2): 169-172.
14. 　王启荣, 古林涛. 阻塞性睡眠呼吸暂停综合征的手术治疗[J]. 山东医药, 2008, 48(13): 110-111.
15. 　杨华, 梁勇. 阻塞性睡眠呼吸暂停低通气综合征的治疗与护理进展[J]. 护理学报， 2007, 14(6): 31-33.

West China Medical Journal

Polysomnographic Monitoring and Nursing of Patients with Obstructive Sleep Apnea-hypoventilation Syndrome

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