СИНДРОМ НОЧНОГО АПНОЭ У ПАЦИЕНТОВ C ВЕНОЗНОЙ ЭНЦЕФАЛОПАТИЕЙ НА ФОНЕ ХРОНИЧЕСКОЙ ОБСТРУКТИВНОЙ БОЛЕЗНИ ЛЕГКИХ

Abstract

The clinical and instrumental examination and polysomnographic examination were carried out in 94 patients with chronic brain ischemia on the background of venous cerebral dysfunction with concomitant pathology-chronic obstructive pulmonary disease. 21 (22.3%) patients from the subjects had clinical manifestations of obstructive sleep apnea/hypopnea syndrome: mild – in 3, moderate – in 11, severe – in 7. A significant correlation between the body mass index, the number of episodes of apnea and the level of saturation of hemoglobin with oxygen, symptoms of venous cerebral dysfunction is shown. There was no correlation with the forced expiratory volume index for the 1st s. It should be assumed that in the pathogenesis of obstructive apnea/hypopnea syndrome in chronic obstructive pulmonary disease, the degree of obesity and venous cerebral dysfunction, rather than the severity of lower respiratory tract obstruction, are more important.