睡眠休眠症事件:严重阻塞性睡眠呼吸暂停的副现象?
Adrian Ujin Yap1,2,3,4, Madeleine Wan Yong Tan5, Sharon Hui Xuan Tan6
1Department of Dentistry, Ng Teng Fong General Hospital, National University Health System, 1 Jurong East Street 21, Singapore, 609606, Singapore.
Clinical oral investigations
|May 31, 2023
概括
大多数睡眠呼吸障碍 (SB) 事件与阻塞性睡眠呼吸障碍 (OSA) 患者的呼吸暂停-低呼吸暂停 (AH) 事件无关. 当相关时,SB经常跟随AH,表明微刺激触发的.
科学领域:
- 睡眠医学 睡眠医学
- 神经学 神经学
- 牙科 睡眠医学 睡眠医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 和睡眠障碍 (SB) 是常见的睡眠障碍.
- 这些条件之间的时间关系尚未完全理解.
- 研究这种关系可以提供对潜在机制的见解.
研究的目的:
- 为了检查呼吸暂停-低呼吸暂停 (AH) 和睡眠 Bruxism (SB) 事件之间的时间关联.
- 在患有OSA和SB同时存在的患者中,将SB事件与各种睡眠和呼吸系统参数相关联.
- 阐明这些并发症的潜在因果关系或表现性.
主要方法:
- 分析了来自147名OSA患者的夜间多睡眠图 (PSG) 数据.
- 确定了49名并发性SB患者,并选择了26名患者进行详细的时间模式分析 (T1-T4).
- 统计分析包括曼-惠特尼U测试和斯皮尔曼相关性.
主要成果:
- 大多数 (84.5%) 的AH事件与SB事件无关.
- 在相关事件中,14.1%显示AH之前SB (T2),1.4%显示SB之前AH (T3).
- SB事件/指数,AH-SB事件比率和T2-T3事件与性别,年龄,BMI或AHI无关;然而,SB事件与总睡眠时间相关.
结论:
- 在大多数共存的情况下,OSA和SB似乎在很大程度上是独立的或副现象.
- 主要的T2模式 (在SB之前的AH) 表明一种特定类型的二次SB是由睡眠微刺激引发的.
- 由于经常出现并发症,建议在OSA患者中进行SB的常规查,反之亦然.
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