Influence du tabac sur le syndrome d'apnées obstructives du sommeil
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Le syndrome d'apnées obstructives du sommeil (SAOS) est une pathologie fréquente. Il a été démontré que le tabac était un facteur de risque du SAOS. L'objectif de cette étude était d'évaluer l'impact du tabagisme sur la sévérité du SAOS. Méthodes: Etude rétrospective, ayant intéressé 250 sujets suivis au service de pneumologie de l'hôpital militaire de Tunis. Nous avons défini trois groupes: le premier groupe G1 incluait les patients tabagiques (115 patients), le second groupe G2 pour les patients non-fumeurs (135 patients). Résultats: L'âge moyen était de 51,1 13,7 ans. Les antécédents cardiovasculaires tels que l'hypertension artérielle, l'accident vasculaire cérébral et l'insuffisance coronaire ont été notés respectivement dans 46,6%, 2,4% et 8%. Les symptômes cliniques étaient dominés par le ronflement (n=239) et la somnolence diurne (n=203). Un SAOS sévère a été noté dans 48% des cas, modéré dans 26% des cas et léger dans 26% des cas, l'index apnées hypopnées moyen était de 30,7 20,05 et l'index de désaturation était de 27,9 23,8.
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