雷姆阻塞性睡眠呼吸暂停:在高海拔地区的人群中患病率和临床关联
Diego Fernando Severiche Bueno1, Ana María Gonzalez1, Diana Paola Rivera-Leon1,2
1Fundación Neumológica Colombiana, Bogotá, Colombia.
概括
快速眼动 (REM) 阻塞性睡眠呼吸暂停 (OSA) 在高海拔地区不太常见. 患有REM OSA在高海拔地区的患者经历了更严重的夜间脱,这表明正气道压力治疗的潜在益处.
科学领域:
- 睡眠医学 睡眠医学
- 心血管呼吸系统生理学
- 高度医学 高度医学
背景情况:
- 快速眼动 (REM) 阻塞性睡眠呼吸暂停 (OSA) 的患病率差异很大 (17-74%).
- 关于拉丁美洲的REM OSA和高海拔地区人口的数据有限.
- 了解REM OSA对于诊断和管理睡眠呼吸障碍至关重要.
研究的目的:
- 在高海拔地区 (2,640米) 确定REM OSA的患病率.
- 将OSA和REM OSA组之间的临床和多睡眠特征进行比较.
- 调查REM OSA,白天嗜睡和高海拔地区的并发症之间的关系.
主要方法:
- 在哥伦比亚波哥大进行的回顾性横截面研究 (2022年1月至12月).
- 通过特定的REM睡眠时间和呼吸暂停-呼吸暂停指数比率来定义REM OSA.
- 使用奇平方/费舍尔精确和t测试进行统计比较.
主要成果:
- 与其他研究相比,REM OSA患病率在高海拔地区较低.
- 患有REM OSA和轻度OSA的患者表现出比轻度非REM OSA更严重的夜间脱.
- 在OSA患者中,动脉高血压和缺血性心脏病的发病率较高.
结论:
- 高海拔REM OSA的患病率低于之前报告的水平.
- 在高海拔地区的REM OSA和轻度OSA患者在夜间脱度较差.
- 在高海拔地区的轻度OSA患者可能会从讨论CPAP治疗中受益.
关键词:
快速眼睛快速睡眠 (REM) 睡眠是指快速眼睛的睡眠.心血管疾病心血管疾病白天的嗜睡性 在白天的嗜睡性高海拔的高海拔地区.阻塞性睡眠呼吸暂停 (SOP) 的情况.患病率的流行情况.系统性动脉高血压是系统性动脉高血压.更多相关视频
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