阻塞性睡眠呼吸暂停对视网膜微血管结构的影响
Müjdat Karabulut1, Semai Bek2, Sinem Karabulut1
1Ophthalmology Department, Mugla Sıtkı Kocman University Training and Research Hospital, Mugla 48300, Türkiye.
International journal of ophthalmology
|October 19, 2023
概括
阻塞性睡眠呼吸暂停综合征与视网膜微血管密度降低有关. 更高的呼吸暂停严重程度与表面和深层毛细血管的血管密度下降相关.
科学领域:
- 眼科医生 眼科 眼科
- 睡眠医学 睡眠医学
- 心血管研究研究心血管研究
背景情况:
- 阻塞性睡眠呼吸暂停综合征 (OSAS) 是一种与全身健康问题相关的普遍疾病.
- 视网膜微血管结构的变化可以作为OSAS患者系统性血管变化的指标.
研究的目的:
- 调查和量化被诊断患有阻塞性睡眠呼吸暂停综合征的患者视网膜微血管变异.
- 探索OSAS的严重程度和特定的视网膜血管参数之间的相关性.
主要方法:
- 一项前性,观察性病例控制研究,比较健康人与OSAS患者在轻度,中度和重度类别.
- 光学连贯断层扫描血管造影 (OCTA) 用于评估血管参数,包括状血管面积和斑点区域的血管密度.
- 分析侧重于6.00×6.00毫米2扫描面积内的表面和深层毛细管.
主要成果:
- 与健康对照组相比,患有OSAS的患者在表面和深层毛细血管中表现出明显较低的血管密度 (P<0.05).
- 呼吸暂停-呼吸暂停指数 (AHI),特别是在快速眼动 (REM) 睡眠期间,显示出与各种视网膜区域的血管密度有显著的反向相关性 (P<0.05).
- 非REM AHI还表明,在两个毛细管中,对状血管密度存在显著的反相关性.
结论:
- 这项研究表明,在患有阻塞性睡眠呼吸暂停综合征的患者中,视网膜微血管密度减少.
- 在OSAS的严重程度 (以AHI表示) 和视网膜血管密度之间存在显著的反向关系,这表明OSAS会影响眼血管系统.
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