失眠和抑郁症对控制喘的影响
Sarah L Rhoads1, Jack Edinger2,3, Aastha Khatiwada4
1Division of Pulmonary Medicine and Critical Care Sciences, University of CO, Boulder, CO, USA.
概括
患有喘和失眠的个人更频繁地经历喘恶化. 这凸显了睡眠和情绪障碍如何对喘控制产生负面影响,表明需要综合治疗方法.
科学领域:
- 肺部医学 肺部医学
- 睡眠医学 睡眠医学
- 精神病学是一个精神病学.
背景情况:
- 睡眠质量差在喘患者中很普遍,通常与喘控制能力下降有关.
- 睡眠障碍 (如失眠) 对控制喘的具体影响尚不清楚.
- 情绪障碍和失眠对喘控制的综合影响仍然不清楚,因为它们经常同时发生.
研究的目的:
- 为了研究失眠,情绪障碍和喘控制之间的关系.
- 确定失眠对喘恶化率和控制的影响.
- 在喘患者中探索失眠与阻塞性睡眠呼吸暂停和情绪障碍的并发症.
主要方法:
- 来自大型喘中心的喘患者的回顾性分析.
- 根据年龄,性别,并发症指数和生物治疗,根据喘患者和没有失眠患者的匹配.
- 评估并发性阻塞性睡眠呼吸暂停,情绪障碍,恶化频率和喘控制测试 (ACT) 成绩.
主要成果:
- 失眠患者更有可能患有阻塞性睡眠呼吸暂停 (57.3%对比18%) 和情绪障碍 (68.5%对比11.4%).
- 患有失眠的喘患者经历了更高的平均年恶化率 (0.93比0.59).
- 在喘队伍中,在失眠,抑郁和阻塞性睡眠呼吸暂停之间发现了显著的关联.
结论:
- 失眠,抑郁和阻塞性睡眠呼吸暂停在患有喘的人群中显著相互作用.
- 失眠患者喘恶化率的增加表明,睡眠和情绪障碍会对喘控制产生不利影响.
- 解决潜在的睡眠和情绪障碍可能对改善喘管理至关重要.
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