在有意识的镇静下,胃肠内镜期间的氧气不和可以预测阻塞性睡眠呼吸暂停吗?
Hosung Choi1, Chang Hoon Lee2, Yu Jin Jung3
1Department of Otorhinolaryngology Head and Neck Surgery, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea.
Respiratory medicine
|June 7, 2025
概括
在内镜检查期间氧气不和可能预测阻塞性睡眠呼吸暂停 (OSA) 的严重程度. 在手术期间氧和度较低的患者有更严重的OSA指标,这表明它可能是一个有用的临床指标.
科学领域:
- 睡眠医学 睡眠医学
- 胃肠病学 胃肠病学
- 肺部病理学 肺部病理学
背景情况:
- 阻塞性睡眠呼吸暂停 (obstructive sleep apnea,OSA) 是一种常见的疾病,其特点是睡眠期间呼吸道反复崩.
- 预测性标志物对于OSA对于早期诊断和管理至关重要.
- 在有意识的镇静下进行胃肠内镜检查,包括监测呼吸功能.
研究的目的:
- 调查在有意识镇静下消化肠道内镜期间的氧气脱是否可以预测阻塞性睡眠呼吸暂停 (OSA) 的严重程度.
主要方法:
- 对接受了多睡眠图 (PSG) 和胃肠内镜的成年患者的回顾性图表审查.
- 患者被分为不和 (最低O2和≤90%) 和非不和 (>90%) 组.
- 统计分析包括线性对线性关联,皮尔森相关性和多重线性回归来评估脱和OSA严重程度 (AHI) 之间的关系.
主要成果:
- 脱和组 (n=22) 与非脱和组 (n=26) 相比,脱和组显示出明显更高的呼吸暂停-低呼吸暂停指数 (AHI) 和其他OSA严重性指标.
- 一个显著的线性趋势表明,在患有脱的患者中,严重的OSA的可能性更高.
- 在内镜检查期间最低的氧和与关键的PSG指标负相关,包括AHI (边界显著性).
结论:
- 胃肠内镜期间的氧气不和与更严重的阻塞性睡眠呼吸暂停有关.
- 这种程序性脱可能作为一种有价值的临床指标,用于识别潜在的未诊断或严重的OSA患者.
- 对于在内镜检查期间出现氧气脱的患者,建议考虑多睡眠图 (PSG).
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