在类风湿性关节炎患者中睡眠障碍的频率
Amna Yaseen1,2, Saima Yasin3, Zia Ul Haq4
1General Medicine, Russells Hall Hospital, Dudley, GBR.
Cureus
|November 26, 2024
概括
失眠和睡眠呼吸暂停等睡眠障碍在类风湿性关节炎 (RA) 患者中很常见,并且与疾病的严重程度有关. 解决这些睡眠问题对于有效管理RA至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 睡眠医学 睡眠医学
- 临床研究 临床研究
背景情况:
- 类风湿性关节炎 (RA) 显著影响生活质量,睡眠障碍是常见的并发症.
- 慢性炎症在RA有助于各种症状,包括睡眠模式的干扰.
研究的目的:
- 为了确定类风湿性关节炎患者睡眠问题的患病率.
- 调查睡眠障碍,患者人口统计和类风湿性关节炎疾病严重程度之间的关系.
主要方法:
- 这是一项涉及385名RA患者的横截面研究,该研究于2023年1月至12月进行.
- 利用匹兹堡睡眠质量指数 (PSQI) 和爱普沃思睡眠度量表 (ESS) 来评估睡眠质量和白天睡眠.
- 采用奇平方测试来分析睡眠问题与RA疾病严重程度之间的关联,显著程度为p<0.05.
主要成果:
- 75.32%的RA患者报告睡眠质量差 (PSQI).
- 具体睡眠障碍的流行包括失眠 (38.96%),睡眠呼吸暂停 (18.18%) 和不安腿综合征 (15.58%).
- 在失眠和中度RA活动 (p<0.001),睡眠呼吸暂停和低RA活动 (p=0.003),不安腿综合征和中度RA活动 (p=0.002) 之间发现了显著的关联.
结论:
- 睡眠障碍,特别是失眠和睡眠呼吸暂停,在类风湿性关节炎患者中非常普遍.
- 在RA中,疾病的严重程度与特定睡眠障碍的发生有显著的关联.
- 针对睡眠障碍的有针对性的管理策略对于改善RA患者的整体护理至关重要.
更多相关视频
相关概念视频
01:15REM Sleep Behavior Disorder
148
REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
RBD is significantly associated with...
148
01:24Substance Use Disorders Affecting Sleep
160
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
160
01:24Sleep-Wake Cycles
1.2K
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
1.2K
01:22Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
7
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
7
01:27Insomnia
79
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
79
01:07Narcolepsy
92
Narcolepsy is a chronic sleep disorder characterized by pervasive, uncontrolled sleepiness and other sleep disturbances. One of its hallmark symptoms is an abrupt transition to REM sleep upon falling asleep, which causes symptoms typically associated with this phase to occur unexpectedly during wakefulness. These include the following symptoms, which typically last from a minute or two to half an hour.
92