肺结核病患者睡眠障碍的风险:一个回顾性队列研究
Yen-Sung Lin1,2, Te-Chun Shen3,4,5, Cheng-Li Lin6
1Division of Pulmonary and Critical Care Medicine, An Nan Hospital, China Medical University, Tainan, 709, Taiwan.
Journal of epidemiology and global health
|April 4, 2024
概括
肺炎症患者面临的睡眠障碍,包括睡眠呼吸暂停的显着更高的风险. 这凸显了需要提高对受影响个体睡眠障碍的认识和监测.
科学领域:
- 职业医学 职业医学是专业的.
- 睡眠医学 睡眠医学
- 肺部医学 肺部医学
背景情况:
- 肺结核病与肺和心血管问题有关,但其与睡眠障碍的关联尚不清楚.
- 了解这种联系对于全面的患者护理至关重要.
研究的目的:
- 调查肺结核病与随后发展睡眠障碍的风险之间的关联.
- 为了确定肺结核病患者中普遍存在的特定睡眠障碍.
主要方法:
- 一项基于人口的回顾性队列研究,利用台湾国家医疗保险数据库.
- 13,329名新诊断的肺结核病患者 (2000-2015年) 与53,316名对照人群进行了比较.
- 考克斯的比例危险回归模型评估了睡眠障碍的风险,直到2018年.
主要成果:
- 睡眠障碍的发生率在肺结核病队列中高出31%.
- 调整后的1.24危险比证实了显著增加的风险 (95% CI: 1.17-1.32).
- 肺结核病患者患睡眠呼吸暂停的风险增加了71% (aHR: 1.71,95% CI: 1.31-2.22).
结论:
- 肺结症与睡眠障碍,特别是睡眠呼吸暂停的风险更高有关.
- 医疗保健提供者应主动监测肺结核病患者的睡眠质量.
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