睡眠质量和与系统性硬化症中睡眠障碍的临床相关性
Nonthaphorn Wongthawa1, Apichart So-Gnern2, Ajanee Mahakkanukrauh1
1Division of Rheumatology, Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
BMC rheumatology
|July 21, 2023
概括
系统性硬化症患者经常经历睡眠质量差. 数字,消化不良和疼痛与这一群体的睡眠障碍有显著的关联,这表明有针对性的干预措施可以改善睡眠.
科学领域:
- 类风湿病学 类风湿病学
- 睡眠医学 睡眠医学
- 临床研究 临床研究
背景情况:
- 睡眠质量差是系统性硬化症 (SSc) 的普遍和衰弱因素.
- 关于泰国SSc患者的睡眠质量因素和临床关联的数据有限,特别是分散皮肤SSc (dcSSc) 子集.
- 这项研究旨在评估睡眠质量,并确定SSc患者的相关临床因素.
研究的目的:
- 评估系统性硬化症泰国患者的睡眠质量.
- 确定与SSc患者睡眠质量差和睡眠障碍相关的临床因素.
- 在SSc.研究疼痛与睡眠质量之间的关系.
主要方法:
- 从2021年5月到9月进行了一项横截面研究.
- 评估了88名来自泰国结核病诊所的成年SSc患者.
- 使用匹兹堡睡眠质量指数 (PSQI) 评估睡眠质量,以及子周长,马兰帕蒂分类,柏林问卷和患者健康问卷-9 (PHQ-9).
主要成果:
- 超过一半 (54.6%) 的SSc患者报告睡眠质量差.
- 数字 (OR 10.73) 和消化不良 (OR 4.60) 与睡眠质量差有显著的关联.
- 通过视觉模拟尺度 (VAS) 测量的整体疼痛与PSQI得分呈正相关性 (Rho 0.2586,p=0.02).
结论:
- 大约50%的全身性硬化症患者睡眠质量差.
- 数字和消化不良是关键的临床因素,与睡眠障碍相关的SSc.
- 有效管理数字,胃肠道症状和疼痛可能会减轻SSc患者的睡眠问题.
相关概念视频
Substance Use Disorders Affecting Sleep
198
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
198
Sleep-Wake Cycles
1.4K
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
1.4K
Insufficient Sleep and Sleep Deprivation
173
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
173
REM Sleep Behavior Disorder
259
REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
RBD is significantly associated with...
259
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
38
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
38
Management of Insomnia
281
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
281


