全身麻酔と睡眠中の上部呼吸道崩壊の比較
Lancet (London, England)
|April 17, 2002
まとめ
一般麻酔中の上部呼吸道崩壊は,睡眠障害の呼吸の重さを予測します. 麻酔中にプラスティブ・プレッシャーを必要とする患者は,特にレム睡眠の間,睡眠障害による呼吸が悪化した.
科学分野:
- アネステシオロジー アネステシオロジー
- スリープ・メディシン (睡眠医学)
- 呼吸器生理学 呼吸器生理学について
背景:
- 覚醒中の上部呼吸道崩壊は,呼吸器の動力,筋肉のトーン,および反射感度の変化による睡眠中の崩壊の悪い予測です.
- 一般麻酔は,呼吸道動態に大きな影響を及ぼし,潜在的に睡眠に関連する呼吸問題を模倣または悪化させる可能性があります.
研究 の 目的:
- 一般麻酔中の上部呼吸道収縮性の関係と睡眠呼吸障害の重度の関係について調査する.
- 麻酔による呼吸道阻害が睡眠呼吸障害を予測するかどうかを判断する.
主な方法:
- 小規模な肢体外科手術を受けた全身麻酔下にある25人の患者で上部呼吸道収縮性を評価した.
- 空気路の透通性を維持するために,正圧換気の必要性を測定しました.
- 呼吸道収縮性の測定は,睡眠呼吸障害の重度と相関しています.
主要な成果:
- 麻酔中に空気通路の開通を保つために正圧を必要とする患者は,より重度の睡眠呼吸障害を発症しました.
- この関連性は,特に急速眼球運動 (REM) の睡眠中に顕著でした.
- 麻酔による呼吸道阻害と睡眠障害による呼吸の重度との間に有意な相関が認められた.
結論:
- 一般麻酔中の上部呼吸道阻害は,睡眠呼吸障害の潜在的指標です.
- 臨床医は,麻酔下または回復中の上部呼吸道の大幅な収縮性を持つ患者の睡眠呼吸障害を考慮する必要があります.
- 麻酔は,睡眠中に呼吸道崩壊の潜在的傾向を明らかにしたり悪化させたりする可能性があります.
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