头与成人阻塞性睡眠呼吸暂停的关联:系统性审查和元分析
Kun-Tai Kang1, Ming-Tzer Lin2, Meiho Nakayama3
1Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan; Department of Otolaryngology and Sleep Center, Taipei Hospital, Ministry of Health and Welfare, New Taipei City, Taiwan; Institute of Health Policy and Management, National Taiwan University, Taipei, Taiwan.
Sleep medicine
|December 18, 2024
概括
阻塞性睡眠呼吸暂停 (OSA) 与前庭功能障碍有关,影响平衡并可能导致. 在OSA患者中,治疗对前庭功能的影响需要进一步研究.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 睡眠医学 睡眠医学
背景情况:
- 几项研究表明,成年人和阻塞性睡眠呼吸暂停 (OSA) 之间存在联系.
- 静脉管功能障碍是OSA的一个潜在后果.
研究的目的:
- 审查和OSA之间的关联.
- 为了研究OSA治疗对前庭功能的影响.
主要方法:
- 在多个数据库中进行系统文献搜索,截至2023年11月.
- 对包括热量,cVEMP和oVEMP在内的前庭测试的元分析. 在成年人中,有和没有OSA.
主要成果:
- 患有OSA的成年人表现出异常热量测试结果的风险增加,cVEMP和oVEMP的缺失,以及前庭唤起肌原潜力测试中的振幅和延迟变化.
- 建议在成年OSA中出现的高风险,尽管在统计学上不显著.
- 在患者中OSA的患病率和治疗对前庭功能的影响显示出不一致的发现.
结论:
- 阻塞性睡眠呼吸暂停 (OSA) 与影响半圆通道,囊和管的前体异常有关.
- 需要进一步的研究来澄清OSA治疗对前庭功能的影响.
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