在慢性肌肉骨疼痛中识别并发性阻塞性睡眠呼吸暂停:系统性审查
Julya Perea1, Julia Kortstee1, Zosia Goossens2
1Federal University of São Carlos, Department of Physiotherapy, São Carlos, São Paulo, Brazil; Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Belgium.
The journal of pain
|February 27, 2025
概括
阻塞性睡眠呼吸暂停 (OSA) 在慢性肌肉骨疼痛 (CMP) 患者中很常见. 目前的查工具与客观措施的一致性较差,并且没有任何特定特征可以一致识别患有这两种疾病的患者.
科学领域:
- 睡眠医学 睡眠医学
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 经常与慢性肌肉骨疼痛 (CMP) 一起发生.
- 在CMP患者中缺乏并发性OSA的有效查和管理策略.
- 了解这种患者群体的特征至关重要.
研究的目的:
- 系统地审查在CMP患者中识别OSA的方法.
- 为了识别伴并发性OSA的CMP患者的特征特征.
- 评估当前选工具的有效性.
主要方法:
- 在Medline,Embase和Web of Science的系统文献搜索.
- 包括30项研究与7085名参与者.
- 对客观的 (多睡眠学) 和主观的 (问卷) OSA评估方法的分析.
主要成果:
- 多睡眠法是主要的客观方法;柏林和STOP-BANG是常见的主观工具.
- 主观调查问卷显示,与多睡眠学研究结果的一致性很低.
- 疲劳和疼痛分布在有和没有OSA的CMP患者之间没有区别.
- 没有确定任何一致的因素来表征CMP患者的并发性OSA.
结论:
- 目前在CMP群体中对OSA的查工具需要改进,因为与客观措施的一致性不佳.
- 需要进行进一步的研究,以确定在CMP患者中改善OSA查的一致特征.
- 开发更好的查方法对于有效管理并发性OSA和CMP至关重要.
相关概念视频
Management of Insomnia
768
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
768
Other Pulmonary Disorders
1.8K
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.
1.8K
Chronic Obstructive Pulmonary Disease-I: Introduction
4.0K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
4.0K
Chronic Obstructive Pulmonary Disease-II: Pathophysiology
5.0K
Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
Chronic Inflammation
5.0K
Chronic Obstructive Pulmonary Disease-V: Management
3.3K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
3.3K
Sleep Apnea
911
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...
911


