关于卧卧姿势相关的阻塞性睡眠呼吸暂停的综述:分类,流行病学,病原和治疗
Shane A Landry1, Caroline Beatty1, Luke D J Thomson1
1Department of Physiology, Biomedical Discovery Institute, Monash University, Melbourne, Australia.
Sleep medicine reviews
|September 18, 2023
概括
卧底阻塞性睡眠呼吸暂停 (OSA) 是很常见的,通常在卧底睡觉时会恶化. 新的可穿戴设备为这种睡眠障碍提供了有效的治疗选择.
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
背景情况:
- 卧底阻塞性睡眠呼吸暂停 (OSA) 是OSA最常见的临床和生理表型.
- 通过在卧卧姿势中发生的呼吸事件来定义,与其他睡眠姿势相比,卧卧姿势的发生频率是其他睡眠姿势的两倍.
- 生理学研究表明,呼吸道的折叠性增加,特别是在软口和上口,躺卧姿势.
研究的目的:
- 审查与卧卧相关的OSA的生理基础.
- 讨论振动性警报装置作为位置性OSA治疗的出现和有效性.
主要方法:
- 关于睡眠期间呼吸道动态的最新生理学研究的综述.
- 对位置性OSA治疗振动器械随机对照试验数据的分析.
主要成果:
- 呼吸道阻塞在仰卧姿势中更常见,原因是缩能力增加和呼吸控制改变.
- 振动性预警装置已经证明有效,可以帮助患者避免躺卧睡眠.
结论:
- 腹性OSA是一种独特的表型,具有明确的生理基础.
- 振动器械设备代表着对位置性OSA的有希望和基于证据的治疗方法,目前正在进行的研究正在完善其应用.
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