同病性失眠和阻塞性睡眠呼吸暂停的流行率
Swapnil Manaji Thorve1, Manish Yadav, Anjali Arvind Kamath
1Department of Respiratory Medicine, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.
Lung India : official organ of Indian Chest Society
|July 2, 2024
概括
伴并发性失眠和阻塞性睡眠呼吸暂停 (COMISA) 影响了25%的印度OSA患者. 女性性别,BMI和STOP BANG得分与COMISA有关,使诊断和治疗复杂化.
科学领域:
- 睡眠医学 睡眠医学
- 内部医学 内部医学
- 临床研究 临床研究
背景情况:
- 伴随性失眠和阻塞性睡眠呼吸暂停 (COMISA) 是一个复杂的临床挑战.
- 失眠和OSA之间的双向关系可以使这两种情况的症状恶化.
- 印度COMISA的患病率仍未得到充分研究.
研究的目的:
- 确定在被诊断为OSA的印度患者中COMISA的流行率.
- 在这个人群中调查与COMISA相关的因素.
主要方法:
- 经过多睡眠学诊断的OSA患者使用失眠严重程度指数 (ISI) 进行失眠评估.
- 在ISI上得分超过15表示有失眠.
- 记录了人口统计数据,临床检查结果和多睡眠学结果.
主要成果:
- 在64名被研究的患者中,有25%被诊断患有COMISA.
- 女性性别,较高的体重指数 (BMI) 和较高的STOP BANG分数显示与COMISA有积极的关联.
- 没有发现年龄与COMISA风险增加有关.
结论:
- 诊断和管理COMISA比单独的失眠或OSA更复杂.
- 症状和COMISA的潜在机制的协同效应构成了治疗障碍.
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