睡眠喘和阻塞性睡眠呼吸暂停之间是否存在关联? 一个案例控制的多睡眠调查调查
Rosana Cid-Verdejo1, Adelaida A Domínguez Gordillo2, Fadi Hallal-Peche3
1Faculty of Dentistry, Universidad Complutense de Madrid, Plaza de Ramón y Cajal s/n, 28040, Madrid, Spain; Department of Clinical Dentistry, Faculty of Biomedical Sciences, Universidad Europea de Madrid, 28005, Madrid, Spain.
Sleep medicine
|December 23, 2023
概括
睡眠障碍症 (SB) 可能是对阻塞性睡眠呼吸暂停 (OSA) 的保护因素,在OSA患者中观察到较少的SB发作. 需要对更大的样本大小进行进一步的研究,以证实这些关于睡眠 Bruxism 和睡眠呼吸暂停的发现.
科学领域:
- 睡眠医学 睡眠医学
- 神经学 神经学
- 流行病学 流行病学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍的睡眠障碍.
- 睡眠 Bruxism (SB) 的特点在于在睡眠期间牙磨牙和牙.
- SB和OSA之间的关系,特别是关于OSA严重性的关系,需要进一步调查.
研究的目的:
- 调查睡眠 Bruxism (SB) 和阻塞性睡眠呼吸暂停 (OSA) 之间的流行病学和统计学联系.
- 为了分析与OSA严重程度相关的这种关联.
- 描述研究人口中睡眠数据的发现.
主要方法:
- 一项涉及37名患有和没有OSA的受试者的病例控制研究.
- 对所有参与者进行了全夜多睡眠扫描 (PSG).
- 使用ICSD-3和AASM-2.6标准来确定OSA的诊断和严重程度,而SB通过自我报告,体检和PSG来诊断.
主要成果:
- 睡眠 Bruxism (SB) 显示了与阻塞性睡眠呼吸暂停 (OSA) 的流行病学关联,几率比 (OR) 为 0.15,表明具有保护作用 (p < 0.05).
- 与非OSA患者 (25.08 ± 31.68) 相比,OSA患者的平均SB发作较少 (6.8 ± 12.31).
- SB发作与呼吸暂停-呼吸暂停指数 (AHI) 和呼吸暂停计数 (p <0.05) 有负相关性,在轻度OSA中比重度OSA更频繁.
结论:
- 在研究的亚临床和轻度OSA患者样本中,睡眠 Bruxism (SB) 可能起到保护因素的作用.
- 确认这些发现需要更大的样本大小.
- 该研究强调了SB和OSA严重程度之间的潜在反向关系.
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