在被诊断为支气管喘的患者中,睡眠相关的呼吸障碍的存在和模式
Saroj Kumari Meena1, Rajnish Gupta2, Manmohan Puri3
1National Institute of Tuberculosis and Respiratory Diseases, New Delhi. sarojlhmc@gmail.com.
概括
喘患者经常患有阻塞性睡眠呼吸暂停 (OSA). 这项研究发现63%的喘患者患有OSA,这表明在这个人群中需要查.
科学领域:
- 肺部病理学 肺部病理学
- 睡眠医学 睡眠医学
- 呼吸系统疾病 呼吸系统疾病
背景情况:
- 喘和阻塞性睡眠呼吸暂停 (OSA) 是普遍存在的疾病,可以并存,可能相互恶化.
- 支气管喘和睡眠相关呼吸障碍之间的关系需要进一步调查.
- 了解这种重叠对于管理患有这两种疾病的患者至关重要.
研究的目的:
- 在被诊断为支气管喘的个人中调查与睡眠相关的呼吸障碍的患病率和模式.
- 评估喘严重程度与OSA存在之间的关联.
主要方法:
- 一项前性研究,涉及30名被诊断为支气管喘患者.
- 使用爱普沃思睡眠度量 (ESS) 评估的主观睡眠.
- 客观的睡眠评估是通过夜间多睡眠学 (PSG) 进行的.
主要成果:
- 在63%的喘患者中检测到阻塞性睡眠呼吸暂停 (OSA) (呼吸暂停-呼吸暂停指数>5/小时).
- 患病率包括轻度 (43%),中度 (10%) 和严重 (10%) OSA.
- 患有OSA的患者表现出更高的BMI,并发性过敏性鼻炎,更严重的喘和肺功能减弱 (FEV1).
结论:
- 在患有支气管喘的患者中存在OSA的高患病率.
- 喘患者应定期评估是否存在OSA.
- 早期发现和管理OSA可能会改善喘患者的治疗结果.
更多相关视频
04:53Author Spotlight: Traditional Chinese Medicine for Sleep Disorders in Acute COPD — A Safe, Cost-Effective Approach
Published on: October 18, 2024
761
08:34Investigation into Deep Breathing through Measurement of Ventilatory Parameters and Observation of Breathing Patterns
Published on: September 16, 2019
11.6K
相关概念视频
01:17Other Pulmonary Disorders
836
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
836
01:30Alterations in Respiration II
859
There are numerous types of normal and abnormal respiration. Based on ventilatory movements, breathing patterns are classified as regular, deep, or shallow. Examples include Biot's breathing, Cheyne-Stokes respiration, Kussmaul's breathing, hyperventilation, and hypoventilation. Each pattern is clinically significant and aids in evaluating patients.
In Biot's breathing, the respiratory rate and depth are irregular, alternating between periods of deep gasping and apnea. Common causes...
In Biot's breathing, the respiratory rate and depth are irregular, alternating between periods of deep gasping and apnea. Common causes...
859
01:27Physical Assessment of the Respiratory Tract II: Inspection
284
Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration...
Chest Configuration
The chest configuration...
284
01:26Respiratory Volumes and Capacities I
992
Assessing the respiratory rate and rhythm for a complete minute is crucial for evaluating the breathing pattern. Even a minor increase in the patient's average respiratory rate, by as little as three to five breaths per minute, is an early and vital indicator of respiratory distress. Patients with a respiratory rate exceeding twenty-four breaths per minute require close monitoring to determine the physiological alterations. This careful observation is essential for prompt recognition and...
992
01:24Asthma-III: Symptoms and Complications
2.5K
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
2.5K
01:29Assessment of Ventilation II: Respiratory Depth and Rhythm
1.5K
Respiratory Depth
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
1.5K