在基于人口的队列中,与快速眼动相关的睡眠呼吸暂停的患病率和特征
Omar Kanbr1,2, Siraj Wali1,3, Lina Wasfi4
1Sleep Medicine Research Group, Sleep Medicine and Research Center, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
Annals of thoracic medicine
|April 16, 2025
概括
与眼睛快速运动相关的阻塞性睡眠呼吸暂停 (REMrOSA) 影响了沙特人口的2.68%. 这种情况在男性中更常见,并与较轻的阻塞性睡眠呼吸暂停 (OSA) 症状相关.
科学领域:
- 睡眠医学 睡眠医学
- 呼吸系统医学 呼吸系统医学
- 流行病学 流行病学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍的睡眠障碍.
- 与快速眼动相关的OSA (REMrOSA) 是一种需要进一步研究的特定表型.
- 了解沙特阿拉伯的REMrOSA患病率对于有针对性的干预至关重要.
研究的目的:
- 为了估计沙特阿拉伯人口中REMrOSA的患病率和特征.
- 为了确定与REMrOSA相关的人口和临床因素.
- 贡献关于这个OSA表型的新数据.
主要方法:
- 来自沙特人口研究数据的分析 (n=2682查,n=346PSG).
- 由呼吸暂停-呼吸暂停指数 (AHI) ≥5.5来定义的OSA.
- 雷莫萨标准:雷姆-AHI/NREM-AHI比率≥2,NREM-AHI<15,雷姆持续时间≥30分钟.
主要成果:
- 在346名PSG参与者中,235人患有OSA;其中30.64%的人患有REMrOSA.
- 在一般人口中,REMrOSA的估计患病率为2.68% (男性3.5%,女性1.93%).
- 雷莫萨患者的AHI,爱普沃思睡眠量表和兴奋指数较低;e-POSA患者患雷莫萨的可能性是2.7倍.
结论:
- 在沙特阿拉伯,REMrOSA是一种常见的OSA表型,估计患病率为2.68%.
- 雷莫萨与较轻微的OSA,较少的症状和排他性的位置性OSA (e-POSA) 相关.
- 对REMrOSA的特性和管理进行进一步的研究是有必要的.
相关概念视频
Sleep Apnea
117
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...
117
Sleep-Wake Cycles
1.1K
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
1.1K
REM Sleep Behavior Disorder
113
REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
RBD is significantly associated with...
113
Narcolepsy
82
Narcolepsy is a chronic sleep disorder characterized by pervasive, uncontrolled sleepiness and other sleep disturbances. One of its hallmark symptoms is an abrupt transition to REM sleep upon falling asleep, which causes symptoms typically associated with this phase to occur unexpectedly during wakefulness. These include the following symptoms, which typically last from a minute or two to half an hour.
82
Substance Use Disorders Affecting Sleep
150
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
150
Respiratory Volumes and Capacities I
780
Assessing the respiratory rate and rhythm for a complete minute is crucial for evaluating the breathing pattern. Even a minor increase in the patient's average respiratory rate, by as little as three to five breaths per minute, is an early and vital indicator of respiratory distress. Patients with a respiratory rate exceeding twenty-four breaths per minute require close monitoring to determine the physiological alterations. This careful observation is essential for prompt recognition and...
780


