对肥胖患者中度和重度阻塞性睡眠呼吸暂停的可能预测因素的分析
Silvia Matarredona-Quiles1, Marina Carrasco-Llatas1,2, Paula Martínez-Ruíz de Apodaca1
1Department of Otorhinolaryngology, Head and Neck Surgery, Doctor Peset University Hospital, Valencia, Spain.
概括
在接受减肥手术的肥胖患者中,超过48岁的年龄是中度至重度阻塞性睡眠呼吸暂停 (OSA) 的唯一独立预测因素. 睡眠研究对于诊断至关重要.
科学领域:
- 腹部外科 腹部外科
- 睡眠医学 睡眠医学
- 肥胖问题研究研究
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 在患有II-IV级肥胖症的患者中很普遍.
- 识别中度至重度OSA的预测因素对于及时诊断和管理至关重要.
研究的目的:
- 为了研究中度/重度OSA和没有OSA的肥胖患者之间的临床和解剖学差异.
- 在这个人群中确定中度至重度OSA的独立预测因素.
主要方法:
- 一项观察性病例控制研究包括124名患有II-IV级肥胖症的患者 (18-65岁),他们接受了减肥手术.
- 数据收集涉及OSA症状的病史,上呼吸道体检和心肺透气测谎仪.
主要成果:
- 61.3%的人没有或有轻度的OSA;38.7%的人有中度或重度的OSA.
- 48岁以上的年龄是中度/重度OSA的唯一独立预测因素.
- 男性的性别,STOP-BANG ≥3,体重≥105公斤,子厚,子周长≥41.25厘米,松的 palates,Mallampati III-IV,弗里德曼舌头位置III-IV,和后宫狭窄与中度/严重的OSA相关.
结论:
- 48岁以上的年龄是病态肥胖患者中中度至重度OSA的唯一独立预测因素.
- 尽管存在相关因素,睡眠研究仍然是诊断中度至重度OSA的必要条件.
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