龚其芹　唐凤云

[摘要] 目的 分析研究高血壓合并阻塞型睡眠呼吸窘迫综合征（OSAHS）患者的临床护理效果。 方法 研究对象选取2015年6月～2016年12月我院收治的高血压合并OSAHS患者46例，依照随机数字表法分为观察组和对照组，每组23例。两组患者在院期间均行无创气道正压通气治疗并联合OSAHS专项护理，在此基础上，观察组患者加强对高血压的护理。护理后比较两组患者OSAHS治疗有效率、高血压缓解率、满意度及不良反应发生率。结果 观察组患者OSAHS治疗总有效率（100.00%）明显高于对照组患者（78.26%），差异有统计学意义（χ2=5.61，P=0.02）；观察组患者高血压缓解率（95.65%）明显高于对照组患者（73.91%），差异具有统计学意义（χ2=4.21，P=0.04）；观察组患者满意度（86.96%）明显高于对照组（60.87%），差异具有统计学意义（χ2=4.06，P=0.04）；观察组不良反应发生率（4.35%）低于对照组（26.09%），差异具有统计学意义（P<0.05）。 结论 对高血压合并OSAHS患者加强高血压护理能有效提高OSAHS治疗效果，患者高血压有明显缓解且对治疗满意度更高，不良反应发生率更低，值得在临床推广。

[关键词] 高血压；OSAHS；不良反应；临床护理

[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2017）16-0141-04

[Abstract] Objective To analyze the clinical nursing effect for the patients with hypertension complicated with OSAHS. Methods 46 patients with hypertension complicated with OSAHS who were admitted to our hospital from June 2015 to December 2016 were selected as the research subjects. They were assigned to the observation group and the control group according to the random number table， with 23 patients in each group. The two groups of patients were given non-invasive positive airway pressure ventilation combined with special care of OSAHS during hospitalization. On this basis， the observation group was given strengthened nursing care of hypertension. After the nursing care， the treatment effective rate of OSAHS， hypertension remission rate， satisfaction and incidence rate of adverse reactions were compared between the two groups. Results The total treatment effective rate of OSAHS in the observation group（100.00%） was significantly higher than that in the control group（78.26%）， and the difference was statistically significant （χ2=5.61， P=0.02）； the remission rate of hypertension in the observation group（95.65%） was significantly higher than that in the control group（73.91%）， and the difference was statistically significant（χ2=4.21， P=0.04）； the satisfaction degree in the observation group（86.96%） was significantly higher than that in the control group（60.87%）， and the difference was statistically significant（χ2=4.06， P=0.04）； the incidence rate of adverse reactions in the observation group（4.35%） was lower than that in the control group（26.09%）， and the difference was statistically significant（P<0.05）. Conclusion Strengthening the nursing care of hypertension for the patients with hypertension complicated with OSAHS can effectively improve the curative effect of OSAHS， with significant remission of hypertension， higher satisfaction with the treatment and lower incidence rate of adverse reactions， which is worthy of clinical promotion.

[Key words] Hypertension； OSAHS； Adverse reactions； Clinical nursing

睡眠呼吸窘迫综合征（sleep apnea hypopnea syndrome，SAHS）是一种主要表现为睡眠状态下反复出现低通气甚至呼吸中断的临床综合征，从而导致机体发生诸多病理生理改变[1]。打鼾、他人可发现的呼吸暂停以及白天嗜睡困顿通常为本病的主要特征，故本病多与单纯性鼾症相混淆。本病因病因不同可分为中枢型睡眠呼吸窘迫综合征（CSAHS）和阻塞型睡眠呼吸窘迫综合征（OSAHS）[2]。OSAHS是睡眠呼吸疾病中最常见的类型，其发病具有典型的遗传倾向，且多发于体型超重及肥胖者，在我国患病率约为4%左右[3]。患者夜间几乎都会有打鼾及呼吸骤停，严重者甚至会因缺氧而惊醒，部分患者还会有夜尿增多、磨牙、呓语等症状；……