在低资源环境中的高血压患者中检查阻塞性睡眠呼吸暂停
Sasa Dragic1, Vesna Dragosavac2, Suzana Savic3
1Medical Intensive Care Unit, University Clinical Centre of the Republic of Srpska, Banja Luka, BIH.
Cureus
|March 31, 2025
概括
吸烟,饮酒,造成事故或使用睡眠辅助剂的高血压患者可能患有阻塞性睡眠呼吸暂停 (OSA). 建议对这些人进行进一步的查,以改善低资源环境中的诊断.
科学领域:
- 睡眠医学 睡眠医学
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 资源有限的国家的有限睡眠医学中心需要有效的屏蔽性睡眠呼吸暂停 (OSA) 查工具.
- 柏林问卷 (BQ) 和爱普沃思睡眠度量表 (ESS) 等现有工具是有价值的,但可以从额外的指标中获益.
- 识别风险高血压患者对于及时干预和管理至关重要.
研究的目的:
- 确定其他因素,除了BQ和ESS外,可以提高需要进一步OSA评估的高血压患者的检测.
- 探索生活方式因素与高血压个体OSA查结果呈阳性的相关性.
- 为改善OSA查策略在初级保健机构提供见解.
主要方法:
- 一项涉及波斯尼亚和黑塞哥维那500名高血压患者的横截面研究.
- 使用柏林问卷 (BQ) 和爱普沃思睡眠度量表 (ESS) 进行睡眠障碍查.
- 收集有关生活方式因素的数据,包括吸烟,酒精消费,事故史和药物使用,并使用千平方测试进行分析.
主要成果:
- 25.4%的患者通过BQ检测出高风险睡眠障碍,25%通过ESS检测出高风险睡眠障碍.
- 吸烟,饮酒,造成交通事故的历史,以及使用安眠药与积极的BQ和ESS结果有显著的相关性.
- 中位数年龄为60岁,中位数BMI为26.9公斤/平方米,性别分布几乎平等.
结论:
- 吸烟,经常饮酒,有交通事故史或使用睡眠药物的高血压患者有较高的OSA风险.
- 这些因素,结合BQ和ESS,可以改善识别需要OSA查和转诊的高血压患者.
- 这些发现支持将有针对性的查问题整合到初级保健中,以便在危险人群中早期检测OSA.
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