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[1]林曉鴻 郭如清 李冰冰 邱阿春.重度與非重度阻塞性睡眠呼吸暫停低通氣綜合征217例危險(xiǎn)因素分析[J].福建醫(yī)藥雜志,2020,42(05):48-50.
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重度與非重度阻塞性睡眠呼吸暫停低通氣綜合征217例危險(xiǎn)因素分析()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
42
期數(shù):
2020年05期
頁碼:
48-50
欄目:
臨床研究
出版日期:
2020-10-20

文章信息/Info

文章編號(hào):
1002-2600(2020)05-0048-04
作者:
林曉鴻 郭如清 李冰冰 邱阿春
福建省立醫(yī)院呼吸與危重癥醫(yī)學(xué)科(福州 350001)
關(guān)鍵詞:
阻塞性睡眠呼吸暫停 便攜式睡眠呼吸監(jiān)測(cè) 危險(xiǎn)因素
分類號(hào):
R563
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 探討基于便攜式睡眠呼吸監(jiān)測(cè)的重度與非重度阻塞性睡眠呼吸暫停低通氣綜合征(obstructive sleep apnea hypopnea syndrome,OSAHS)患者的危險(xiǎn)因素。方法 選擇我院睡眠醫(yī)學(xué)中心的OSAHS患者217例,對(duì)其行夜間便攜式睡眠呼吸監(jiān)測(cè),以及愛潑沃斯嗜睡量表(epworth sleepiness scale,ESS)評(píng)估,計(jì)算身體質(zhì)量指數(shù)(BMI)等指標(biāo),根據(jù)睡眠呼吸暫停低通氣指數(shù)(apnea-hypopnea index,AHI),將阻塞性睡眠呼吸暫停低通氣綜合征分為重度組(AHI>30次/h)99例與非重度組(AHI≤30次/h)118例,觀察并分析危險(xiǎn)因素。結(jié)果 與非重度OSAHS組比較,重度OSAHS組男性患病率更高(86.9% vs 67.8%; χ2=10.892,P=0.001)、ESS得分更高(9.00分 vs 6.00分; Z=-4.122,P<0.001)、存在日間嗜睡人數(shù)更多(47.5% vs 28.8%; χ2=8.014,P=0.005)、BMI更高(29.40 kg/m2 vs 26.16 kg/m2; Z=-5.538,P<0.001)、超重或肥胖人數(shù)更多(92.9% vs 75.4%; χ2=11.922,P=0.001)。多因素logistic回歸分析顯示男性、ESS得分、BMI為重度OSAHS的危險(xiǎn)因素,男性相對(duì)危險(xiǎn)度(OR值)為2.464[95%CI(1.136~5.347),P=0.023]; ESS得分OR值為1.089[95%CI(1.026~1.155),P=0.005]; BMI指數(shù)OR值為1.183[95%CI(1.094~1.279),P<0.001]。結(jié)論 重度OSAHS男性發(fā)生率高,日間嗜睡癥狀發(fā)生可能性更大,BMI更高,發(fā)生超重肥胖可能性更大,臨床中應(yīng)注意識(shí)別。

參考文獻(xiàn)/References:

[1] 趙忠新.睡眠醫(yī)學(xué)[M].北京:人民衛(wèi)生出版社,2016:53-55.
[2] Young T, Palta M, Dempsey J, et al.The occurrence of sleep-disordered breathing among middle-aged adults[J].N Engl J Med, 1993, 328(17): 1230-1235.
[3] Peppard P E, Young T, Barnet J H, et al.Increased prevalence of sleep-disordered breathing in adults[J].Am J Epidemiol,2013,177(9):1006-1014.
[4] Heinzer R, Vat S, Marques-Vidal P, et al.Prevalence of sleep-disordered breathing in the general population: the HypnoLaus study[J].Lancet Respir Med,2015,3(4):310-318.
[5] Qaseem A, Holty J E, Owens D K, et al.Management of obstructive sleep apnea in adults: a clinical practice guideline from the American college of physicians[J].Ann Intern Med,2013,159(7):471-483.
[6] Young T, Peppard P E, Gottlieb D J.Epidemiology of obstructive sleep apnea: a population health perspective[J].Am J Respir Crit Care Med,2002,165(9):1217-1239.
[7] Veasey S C, Rosen I M.Obstructive sleep Apnea in adults[J].N Engl J Med,2019,380(15):1442-1449.
[8] Ozcan K M, Selcuk A, Ozcan I, et al.Incidence of hypothyroidism and its correlation with polysomnography findings in obstructive sleep apnea[J].Eur Arch Otorhinolaryngol,2014,271(11):2937-2941.
[9] Turan O, Akinci B, Ikiz A O, et al.Airway and sleep disorders in patients with acromegaly[J].Clin Respir J,2018,12(3):1003-1010.
[10] Myers K A, Mrkobrada M, Simel D L.Does this patient have obstructive sleep apnea?The rational clinical examination systematic review[J].JAMA,2013,310(7):731-741.
[11] Friedman M, Hamilton C, Samuelson C G, et al.Diagnostic value of the friedman tongue position and mallampati classification for obstructive sleep apnea: a meta-analysis[J].Otolaryngol Head Neck Surg,2013,148(4):540-547.
[12] Zonato A I, Bittencourt L R, Martinho F L, et al.Association of systematic head and neck physical examination with severity of obstructive sleep apnea-hypopnea syndrome[J].Laryngoscope,2003,113(6):973-980.
[13] 中華醫(yī)學(xué)會(huì)呼吸病學(xué)分會(huì)睡眠呼吸障礙學(xué)組.阻塞性睡眠呼吸暫停低通氣綜合征診治指南(2011年修訂版)[J].中華結(jié)核和呼吸雜志,2012,35(1):9-12.
[14] George C F.Reduction in motor vehicle collisions following treatment of sleep apnoea with nasal CPAP[J].Thorax,2001,56(7):508-512.
[15] Somers V K, White D P, Amin R, et al.Sleep apnea and cardiovascular disease:an American heart association[J].Circulation,2008,118(10):1080-1111.
[16] Mehra R, Benjamin E J, Shahar E, et al.Association of nocturnal arrhythmias with sleep-disordered breathing: the sleep heart health study[J].Am J Respir Crit Care Med,2006,173(8):910-916.
[17] Somers V K, Dyken M E, Mark A L, et al.Parasympathetic hyperresponsiveness and bradyarrhythmias during apnoea in hypertension[J].Clin Auton Res,1992,2(3):171-176.
[18] Gami A S, Olson E J, Shen W K, et al.Obstructive sleep apnea and the risk of sudden cardiac death: a longitudinal study of 10701 adults[J].J Am Coll Cardiol,2013,62(7):610-616.
[19] Xie J, Sert Kuniyoshi F H, Covassin N, et al.Nocturnal hypoxemia due to obstructive sleep apnea is an independent predictor of poor prognosis after myocardial infarction[J].J Am Heart Assoc,2016,5(8):e003162.
[20] Stone K L, Blackwell T L, Ancoli-Israel S, et al.Sleep disordered breathing and risk of stroke in older community-dwelling Men[J].Sleep,2016,39(3):531-540.
[21] Redline S, Yenokyan G, Gottlieb D J, et al.Obstructive sleep apnea-hypopnea and incident stroke: the sleep heart health study[J].Am J Respir Crit Care Med,2010,182(2):269-277.
[22] Young T, Finn L, Peppard P E, et al.Sleep disordered breathing and mortality: eighteen-year follow-up of the wisconsin sleep cohort[J].Sleep,2008,31(8):1071-1078.
[23] Tuomilehto H, Sepp J, Uusitupa M.Obesity and obstructive sleep apnea-clinical significance of weight loss[J].Sleep Med Rev,2013,17(5):321-329.
[24] Strollo P J, Hedner J, Collop N, et al.Solriamfetol for the treatment of excessive sleepiness in OSA: a placebo-controlled randomized withdrawal study[J].Chest,2019,155(2):364-374.
[25] Chiu H Y, Chen P Y, Chuang L P, et al.Diagnostic accuracy of the berlin questionnaire, STOP-BANG, STOP, and Epworth sleepiness scale in detecting obstructive sleep apnea: a bivariate meta-analysis[J].Sleep Med Rev,2017,36(12):57-70.

更新日期/Last Update: 2020-10-20