阻塞性睡眠呼吸暂停的严重程度在有意识的镇静下在胃肠内镜检查期间偶然诊断出来
Kosuke Kashiwabara1, Fujiho Tanaka2, Takenori Yamanouchi3
1Department of Respiratory Medicine, Omotesando Yoshida Hospital, 2-5, Kitasendanbata-Machi, Chuo-Ku, Kumamoto, 860-0855, Japan. ksk2kswbr@kiseikai.or.jp.
Sleep & breathing = Schlaf & Atmung
|March 27, 2025
概括
在胃肠内镜检查期间偶然诊断出阻塞性睡眠呼吸暂停 (OSA) 的患者通常患有中度至严重的疾病. 由于主观症状较少,许多人拒绝持续正气道压力 (CPAP) 治疗.
科学领域:
- 睡眠医学 睡眠医学
- 胃肠病学 胃肠病学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 在有意识镇静下 (GE-CS) 的胃肠内镜期间阻塞性睡眠呼吸暂停 (OSA) 诊断越来越常见.
- 在GE-CS期间偶然诊断的患者中,OSA的严重程度和特征仍然不清楚.
- 这项研究调查了这些患者是否主要有轻度的OSA.
研究的目的:
- 为了比较在GE-CS期间偶然诊断的患者的OSA疾病特征,严重程度和治疗,与有OSA症状史的患者进行比较.
- 为了确定GE-CS组中轻度,中度和重度OSA的患病率.
- 分析两组主观和客观症状以及治疗坚持程度的差异.
主要方法:
- 在GE-CS (GE组) 期间,对56名怀疑患有OSA的患者进行了回顾性评估.
- 与123名患有OSA相关症状 (SY组) 的患者进行比较.
- 对人口统计数据,OSA严重程度,主观/客观症状和持续正气道压力 (CPAP) 治疗使用的分析.
主要成果:
- 与SY组 (56%) 相比,GE组的中度至重度OSA百分比较高 (79%).
- 在GE组的患者报告主观症状较少 (例如,白天嗜睡) 和Epworth嗜睡量表得分较低.
- 在GE组中,患有中度至重度OSA的患者接受CPAP治疗的患者较少 (34%vs65%).
结论:
- 在GE-CS期间偶然诊断出OSA的患者中,很大一部分患有中度至重度疾病.
- 这些患者往往表现出较少的主观症状,可能导致CPAP治疗拒绝.
- 需要进一步的研究,以了解和解决这个人群的治疗坚持.
更多相关视频
相关概念视频
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
43
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
43
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
38
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
38
01:22Stages of General Anesthesia
332
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
332
01:25Endoscopic Procedures II: Colonoscopy
40
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
40
01:26Endoscopic Procedures V: ERCP
50
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
50
01:28Endoscopic Procedures III: Video Capsule Endoscopy
64
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
64