在患有阻塞性睡眠呼吸暂停的患者中,使用WatchPAT设备对睡眠中的侧侧位进行分析
Jayoung Oh1, Younghoon Cho1, Dong-Young Kim1
1Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul, Republic of Korea.
Journal of rhinology : official journal of the Korean Rhinologic Society
|December 12, 2024
概括
阻塞性睡眠呼吸暂停 (OSA) 患者的BMI较高,可能受益于右侧垂位置 (RLDP) 超过左侧垂位置 (LLDP). 患者在具有下呼吸障碍指数 (RDI) 的姿势中睡眠时间更长.
科学领域:
- 睡眠医学 睡眠医学
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 定位阻塞性睡眠呼吸暂停 (OSA) 诊断需要测量卧卧和非卧卧姿势的睡眠.
- 右侧和左侧位 (RLDP和LLDP) 对睡眠参数的影响尚不清楚.
研究的目的:
- 为了研究睡眠参数和OSA患者的横向位睡眠位置之间的关联.
- 为了确定睡眠位置是否会影响关键的呼吸障碍指数.
主要方法:
- 对经过手术的38名OSA患者的回顾性分析.
- 使用WatchPAT评估手术前睡眠参数,重点关注RLDP和LLDP.
- 评估身体质量指数 (BMI) 和鼻腔内镜检查结果.
主要成果:
- 周围动脉学无呼吸指数 (pAHI) 或PAT呼吸障碍指数 (pRDI) 与鼻隔膜侧偏差之间没有发现相关性.
- 与RLDP相比,较高的BMI患者在LLDP中表现出较高的pRDI (p=0.038).
- 在特定的横向部位置上花费的时间更长与较低的pRDI相关.
结论:
- 与LLDP相比,更高的BMI和OSA患者可能会在RLDP睡眠中获得更大的益处.
- 患者倾向于在与较低的pRDI相关的侧侧位睡得更长时间.
- 建议对OSA患者进行RLDP和LLDP的评估,除了仰卧和非仰卧姿势外.
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