发生在睡眠期间的神经系统下关节出血:临床特征和危险因素
Joji Inamasu1, Takenori Akiyama2, Kazunori Akaji3
1Department of Neurosurgery, Saiseikai Utsunomiya Hospital, 911-1 Takebayashi, Utsunomiya 321-0974, Japan.
概括
睡眠期间的神经系统下关节出血 (aSAH) 与糖尿病和抗血小板使用有关. 这些发现表明睡眠相关aSAH的特定风险因素,需要进一步调查.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 关键护理医学 关键护理医学
背景情况:
- 动脉瘤下关节出血 (aSAH) 通常与特定活动有关.
- 睡眠尚未被认定为aSAH的触发因素,对在睡眠期间经历aSAH的患者的数据有限.
研究的目的:
- 为了研究在睡眠期间发生的动脉瘤下arachnoid出血 (aSAH) 相关的临床特征和危险因素.
主要方法:
- 一个多中心aSAH注册表的回顾性分析 (2019年1月 - 2021年12月).
- 在睡眠期间 (睡眠组) 患有aSAH的59名患者与在清醒期间 (清醒组) 患有aSAH的564名患者进行了比较.
- 使用多变量逻辑回归来识别风险因素.
主要成果:
- 睡眠组的糖尿病 (15.5%对6.4%) 和抗血小板使用率 (13.8%对4.6%) 显着更高.
- 糖尿病 (OR,3.051) 和抗血小板使用 (OR,3.640) 被确定为睡眠期间aSAH的独立风险因素.
- 两组之间没有观察到患者在出院后的结果有显著差异.
结论:
- 在睡眠期间发生的神经系统下关节出血 (aSAH) 的危险因素可能存在.
- 需要进一步的研究来探索糖尿病,抗血小板使用和睡眠呼吸暂停等并发症对睡眠期间血液动力学和血液静止学参数的影响.
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