脊柱裂对睡眠质量的影响:当前见解
Mohini Gunnett1, Brandon G Rocque2, Anis Nourani1
1Department of Pediatrics, Division of Pulmonary and Sleep Medicine, University of Alabama at Birmingham (UAB), Birmingham, AL, USA.
Nature and science of sleep
|November 30, 2023
概括
脊柱裂患者有较高的睡眠相关呼吸障碍 (SRBD) 的风险. 早期评估和治疗SRBD对于改善脊柱裂纹儿童的长期健康结果至关重要.
科学领域:
- 儿科神经学 儿科神经学
- 睡眠医学 睡眠医学
- 发育儿科 发育儿科
背景情况:
- 脊椎裂 (SB) 是一种常见的先天性疾病,影响儿童,持续改善生存率和生活质量.
- 患有SB的患者患有与睡眠相关的呼吸障碍 (SRBD),突然无法解释的死亡和睡眠时间型变化的风险增加.
- 现有研究表明,脊髓和脑干异常有助于SB患者的SRBD.
研究的目的:
- 为了突出SRBD在脊柱裂患者中的显著患病率.
- 强调在这个人群中对SRBD进行早期评估和干预的必要性.
- 强调了解睡眠障碍对于优化SB患者护理的重要性.
主要方法:
- 一项前性研究,涉及所有SB患者的多睡眠图 (PSG),无论症状如何.
- 审查关于SRBD机制和脊椎裂纹患病率的现有文献.
- 在SB护理背景下对SRBD的治疗选择的评估.
主要成果:
- 一项前性研究发现,在接受多睡眠图的SB患者中,SRBD的患病率高达42%.
- 在SB中,SRBD与潜在的脊髓和脑干功能障碍有关,影响上呼吸道维护.
- 尽管取得了进展,但一小部分骨髓髓瘤细胞瘤患者仍然面临突然无法解释的死亡.
结论:
- 脊柱脊柱裂是脊柱裂的一个常见且可能可治疗的并发症.
- 早期发现和管理SRBD是多学科护理的关键组成部分.
- 优化睡眠健康可以改善从婴儿期到成年期脊柱裂患者的长期医疗和神经发育结果.
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