在COPD与阻塞性睡眠呼吸暂停的姿势平衡:一个横截面研究
Caroline Maschio de Censo1, Viviane Vieira Passini2, Bárbara Aparecida Teodoro Alcantara Verri1
1Departament of Physical Therapy, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil.
ERJ open research
|April 16, 2024
概括
慢性阻塞性肺病 (COPD) 患有中度至重度阻塞性睡眠呼吸暂停 (OSA) 的患者表现出姿势平衡受损和跌倒风险增加. 这些发现强调了评估COPD患者的OSA对于预防跌倒策略的重要性.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 睡眠医学 睡眠医学
- 老年病的医生 老年病的医生
- 神经学 神经学
背景情况:
- 慢性阻塞性肺病 (COPD) 是一种进展性呼吸道疾病,与显著的发病率相关.
- 阻塞性睡眠呼吸暂停 (OSA) 是COPD患者常见的并发症,可能会加剧系统性影响.
- 姿势平衡缺陷和跌倒在COPD中很普遍,影响生活质量和增加医疗保健利用率.
研究的目的:
- 研究阻塞性睡眠呼吸暂停 (OSA) 对慢性阻塞性肺病 (COPD) 患者的姿势平衡的影响.
- 评估OSA严重程度与身体活动参数,心理症状和COPD下跌史之间的关联.
- 为了确定OSA是否影响着COPD通常受到影响的姿势控制机制之外的姿势控制机制.
主要方法:
- 使用实验室和临床姿势平衡措施 (力量平台,Mini-BESTest) 评估了70名中度至重度的COPD患者.
- 多梦摄影用于诊断和分类OSA严重程度 (没有OSA,轻度OSA,中度至重度OSA).
- 评估包括身体活动 (加速计),睡眠质量,嗜睡,焦虑/抑郁症状,呼吸不良,临床状况,情绪和6个月的跌倒史.
主要成果:
- 与没有OSA的患者相比,中度至重度OSA (msOSA) 的COPD患者表现出明显增加的路径长度,前后位移和姿势调整速度.
- 在OSA严重程度组中,没有发现临床姿势平衡得分 (Mini-BESTest) 的显著差异.
- 在msOSA组报告了更高的发病率的复发跌倒在第一次随访的三个月内.
结论:
- 在COPD患者中,中度至重度的OSA与姿势控制的客观障碍有关,其特点是更广泛的振荡和更快的调整.
- 与没有OSA的患者相比,中度至重度OSA的COPD患者的跌倒风险较高.
- 身体活动,焦虑,抑郁和情绪在COPD患者和没有OSA患者之间没有显著差异,这表明OSA的主要影响是平衡和跌倒.
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