在日本喘患者中,阻塞性睡眠呼吸暂停的患病率
Mina Yasuda1,2, Kazunori Tobino3,4, Norihiro Harada4
1Department of Respiratory Medicine, Iizuka Hospital, 3-83 Yoshio Iizuka, Fukuoka, 820-8505, Japan. mina0628mina@gmail.com.
概括
阻塞性睡眠呼吸暂停 (OSA) 影响了近70%的日本喘患者. 对于患有严重OSA的喘患者,建议进行家庭睡眠测试,因为爱普沃思睡眠度量表可能无法准确反映严重程度.
科学领域:
- 肺部病理学 肺部病理学
- 睡眠医学 睡眠医学
- 内部医学 内部医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 在喘患者中更为普遍,这是由于共同的并发症.
- 日本的OSA患病率约为20%,但对喘患者的数据有限.
- 日本患有OSA和喘并存的患者的特征还没有得到很好的定义.
研究的目的:
- 为了调查日本喘患者中OSA的患病率.
- 根据OSA的严重程度来确定患有OSA的喘患者的特征.
- 为了澄清OSA严重程度和喘控制参数之间的关系.
主要方法:
- 成年喘患者在2017年至2019年期间从门诊诊所招募.
- 使用便携式多睡眠学 (PSG) 和爱普沃思睡眠度量表 (ESS) 的家庭睡眠测试 (HST) 用于评估OSA.
- 根据OSA的严重程度,分析了患病率和患者特征.
主要成果:
- 在包括的53名喘患者中,在67.9%的患者中检测到OSA.
- 患有OSA的患者的BMI,AHI和ODI较高,FVC%较低,SPO2最低.
- 增加的OSA严重程度与较高的年龄,AHI和ODI相关,但较低的肺功能 (FVC,FEV1) 和ESS得分.
结论:
- 这是第一个报告使用HST.在日本喘患者中OSA患病率的研究.
- 对于具有耐火性疾病,低肺功能,晚年或高BMI的喘患者,建议进行HST.
- 在这个队列中,OSA严重程度和ESS得分之间的反向相关性不同于一般的OSA人群.
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