翻译阻塞性睡眠呼吸暂停病理生理学和表型到个性化治疗:一个叙事审查
Walter T McNicholas1,2, Henri Korkalainen3,4
1School of Medicine and the Conway Research Institute, University College Dublin, Dublin, Ireland.
Frontiers in neurology
|September 11, 2023
概括
阻塞性睡眠呼吸暂停 (OSA) 是由于睡眠期间上呼吸道 (UA) 崩引起的. 了解OSA表型和病理生理学是开发超越当前标准的个性化疗法的关键.
科学领域:
- 睡眠医学 睡眠医学
- 呼吸系统生理学 呼吸系统生理学
- 心血管健康 心血管健康
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是由于呼吸压力克服扩张器肌肉度而导致睡眠期间上呼吸道 (UA) 崩的结果.
- 导致UA缩小的因素包括面解剖学,部脂肪和卧底液位移.
- 与睡眠相关的因素,如肌肉反应减弱和呼吸系统不稳定性,加剧了UA阻塞.
研究的目的:
- 审查阻塞性睡眠呼吸暂停 (OSA) 的复杂病理生理学.
- 探索UA解剖学,功能特征,临床症状和并发症之间的联系.
- 倡导个性化治疗策略和CPAP治疗的替代方案.
主要方法:
- 文献综述侧重于OSA病理生理学.
- 分析解剖学,功能和临床因素之间的关系.
- 检查OSA的并发病概况和双向相互作用.
主要成果:
- OSA病理生理学涉及解剖学倾向,功能缺陷和与睡眠相关的不稳定性的复杂相互作用.
- 不同的OSA表型与特定的症状和并发症有关.
- 在OSA和心血管,代谢和神经精神疾病之间存在显著的联系.
结论:
- 弥合患者特征,表型和病理生理学之间的差距对于推进OSA理解至关重要.
- 需要针对特定内型的个性化治疗方法.
- 开发量身定制的疗法可以优化OSA患者的治疗疗效和治疗坚持.
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