年龄与并发性失眠和睡眠呼吸暂停之间的关联
Meina Wu1, Pei Xue2, Jinzhu Yan1
1Department of Neurology and Sleep Medical Center, Fujian Provincial Governmental Hospital, Fuzhou, China.
Sleep medicine
|November 12, 2024
概括
随着年龄的增长,并发性失眠和睡眠呼吸暂停 (COMISA) 显著增加. 老年患者对于这种情况需要更多的临床关注.
科学领域:
- 睡眠医学 睡眠医学
- 老年学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 失眠和睡眠呼吸暂停是常见的睡眠障碍.
- 它们的共同发生,称为COMISA,带来了独特的临床挑战.
- 年龄是COMISA的潜在风险因素,但其在不同年龄组的流行率需要进一步调查.
研究的目的:
- 在中国成年人群中调查伴随性失眠和睡眠呼吸暂停 (COMISA) 的年龄相关流行率.
- 为了确定COMISA和阻塞性睡眠呼吸暂停 (OSA) 仅群体之间的人口统计和多睡眠统计差异.
- 确定年龄与患COMISA的可能性之间的关联.
主要方法:
- 在2176名中国成年人 (年龄在18-102岁) 上进行了视频监控的单个夜间多睡眠记录.
- 阻塞性睡眠呼吸暂停 (OSA) 使用呼吸暂停-呼吸暂停指数 (AHI) ≥5.5进行选.
- 失眠的诊断是基于自我报告的睡眠困难和白天症状,遵循既定的标准.
主要成果:
- 981名参与者符合COMISA的标准.
- 与OSA患者相比,COMISA患者更有可能是女性,睡眠开始的延迟时间更长,总睡眠时间更短,AHI更低,外周平均氧和度更高.
- 随着年龄的增长,COMISA的患病率显著增加,从50岁以下的51.9%增加到70岁或以上的78.1%.
结论:
- 随着年龄的增加,COMISA的患病率显著增加.
- COMISA在老年人中更为常见,这凸显了在这个人口群体中提高临床意识的必要性.
- 这些发现强调了老年患者对失眠和睡眠呼吸暂停的查的重要性.
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