退伍军人患有阿片类药物使用障碍的睡眠-清醒障碍:患病率和并发症
Muhammet Celik1, Danielle Cosentino2, Brian Fuehrlein3
1Mental Health Service Line, VA Connecticut Healthcare System, West Haven, CT, USA.
Sleep health
|July 12, 2023
概括
患有阿片类药物使用障碍 (OUD) 的退伍军人经常经历睡眠-清醒障碍,近四分之一受影响. 阻塞性睡眠呼吸暂停是最常见的,与抑郁症和高血压一起,突出了对综合护理策略的需求.
科学领域:
- 睡眠医学 睡眠医学
- 成精神病学成精神病学
- 退伍军人健康 退伍军人的健康
背景情况:
- 阿片类药物使用障碍 (OUD) 是一个重要的公共卫生问题,特别是在退伍军人.
- 睡眠-觉醒障碍是OUD患者常见但未被认可的并发症.
- 了解OUD退伍军人睡眠障碍的患病率和特征对于有效治疗至关重要.
研究的目的:
- 确定美国退伍军人诊断患有阿片类药物使用障碍 (OUD) 的睡眠-清醒障碍的患病率.
- 为了确定人口统计学特征,医疗并发症,和门诊药物与睡眠-觉醒障碍在这个人群中.
- 为OUD和睡眠障碍的退伍军人制定有针对性的预防和治疗策略提供信息.
主要方法:
- 在VA康涅狄格医疗保健系统 (2000-2021) 诊断出OUD的美国退伍军人的回顾性分析.
- 数据提取包括睡眠-清醒障碍诊断,人口统计信息,医疗并发症和处方门诊药物.
- 计算了该队列的流行率和共同特征.
主要成果:
- 有相当比例的OUD (24.4%) 的退伍军人被诊断出至少有一个睡眠-觉醒障碍.
- 阻塞性睡眠呼吸暂停是最常见的睡眠障碍 (73.7%的睡眠障碍患者).
- 重度抑郁症 (68.6%) 和高血压 (67.1%) 是最常见的并发症,抗抑郁药物 (91%) 和二类药物 (62%) 是最常见的.
结论:
- 患有阿片类药物使用障碍的退伍军人表现出睡眠-清醒障碍的高患病率.
- 伴随性医学和精神疾病,以及特定的药物类别,在管理这个患者群体时需要仔细考虑.
- 解决睡眠障碍的综合方法对于改善OUD退伍军人的整体健康结果至关重要.
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