评估呼吸暂停持续时间对阻塞性睡眠暂停和听力损失之间的关系的影响
1Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
PloS one
|December 18, 2024
概括
阻塞性睡眠呼吸暂停 (OSA) 与听力损失 (HL) 有关. 在OSA患者中,呼吸暂停持续时间较长显著导致听力损伤,可能是由于慢性缺氧损伤.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 听力学 听力学是指听力学.
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 和听力损失 (HL) 之间的联系需要进一步澄清.
- 了解促成因素对于管理OSA患者至关重要.
研究的目的:
- 为了研究阻塞性睡眠呼吸暂停和听力损失之间的关系.
- 确定影响OSA患者听力损失的关键因素.
主要方法:
- 追溯对90名OSA受试者的回顾,这些受试者接受了多睡眠图 (PSG) 和听力测量.
- 与年龄和性别匹配的非OSA对照组进行比较.
- 将OSA受试者分为听力损失 (HL) 和非HL组进行分析.
主要成果:
- 与对照组相比,OSA患者表现出较高的听力值.
- 增加的呼吸暂停持续时间与OSA患者的所有频率和高频率听力损失显著相关 (p <0.05).
- 在多变量回归分析中,呼吸暂停持续时间是听力损失的重要预测因素 (p < 0.01).
结论:
- 阻塞性睡眠呼吸暂停和听力功能下降之间存在显著的关联.
- 呼吸暂停的持续时间是导致OSA听力损失的关键因素.
- 长时间的呼吸暂停可能表明慢性缺氧损伤,可能导致听力损失.
相关概念视频
Sleep Apnea
126
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
126
Respiratory Volumes and Capacities I
845
Assessing the respiratory rate and rhythm for a complete minute is crucial for evaluating the breathing pattern. Even a minor increase in the patient's average respiratory rate, by as little as three to five breaths per minute, is an early and vital indicator of respiratory distress. Patients with a respiratory rate exceeding twenty-four breaths per minute require close monitoring to determine the physiological alterations. This careful observation is essential for prompt recognition and...
845
Assessment of Ventilation II: Respiratory Depth and Rhythm
1.4K
Respiratory Depth
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
1.4K
Physical Assessment of the Respiratory Tract II: Inspection
229
Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration...
Chest Configuration
The chest configuration...
229
Other Pulmonary Disorders
803
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
803
Respiratory Assessment: Purpose and Indications
1.0K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.0K


