成年男性OSAHS患者血清睾酮水平的研究
作者简介:

魏珍星,Email:18537919197@163.com


Study of testosterone levels in adult male patients with obstructive sleep apnea hypopnea syndrome
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    摘要:

    目的探讨成年男性阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者血清睾酮水平的变化。方法回顾性分析183例成年男性OSAHS患者,对照组60例均为正常健康成年男性,所有受试对象均接受多导睡眠监测(PSG),按照年龄段分为25~40岁和41~55岁两段,按照呼吸暂停低通气指数(AHI)将OSAHS患者分型,其中轻度52例,中度58例,重度73例。测定其血清睾酮水平,分别比较同一年龄段OSAHS组和对照组血清睾酮差异,分析成年男性OSAHS患者血清睾酮水平的影响因素。结果同一年龄段内成年男性OSAHS患者血清睾酮水平均低于对照组,两组间比较差异具有统计学意义(P<0.05);同一年龄段内成年男性OSAHS患者轻、中、重度各组间血清睾酮水平差异具有统计学意义(P<0.05)。结论成年男性OSAHS患者的血清睾酮水平低于正常健康成年男性,同一年龄层内成年男性OSAHS患者血清睾酮水平随着病情加重而逐步降低。

    Abstract:

    ObjectiveTo explore changes of testosterone level in adult male patients with obstructive sleep apneahypopnea syndrome (OSAHS).MethodsThe data of 183 adult male patients with OSAHS (OSAHS group) and 60 normal men (control group) were analyzed retrospectively. All the subjects in both groups were monitored by polysomnography (PSG) and assigned to 25-40 years old subgroup and 40-55 years old subgroup. Of the 183 cases in OSAHS group, 52 cases were mild, 58 were moderate, and 73 were severe according to apnea hypopnea index (AHI). Their serum levels of testosterone were measured after PSG monitoring. The effect of OSAHS on testosterone level in adult male patients with OSAHS was analyzed via comparing the differences of testosterone level between the same age subgroups of both groups.ResultsThe serum levels of testosterone in the 2 age subgroups of OSAHS group were lower than those of the control group, and the differences were statistically significant (both P<0.05). The differences of testosterone level among the mild, moderate and severe OSAHS patients of the same age subgroups were also statistically significant (all P<0.05).ConclusionThe serum level of testosterone in adult male patients with OSAHS is lower than that of normal men, which is potentially useful in clinic.

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魏珍星,常昆鹏.成年男性OSAHS患者血清睾酮水平的研究[J].中国耳鼻咽喉颅底外科杂志,2017,23(3):222-225

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  • 在线发布日期: 2017-06-30
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