在阻塞性睡眠呼吸暂停的嗅觉功能障碍背后的机制研究的进展:一个叙述性综述
Qihang Zhang1,2, Guangling Zhang3, Pengfei Ba3
1Department of Otorhinolaryngology and Head and Neck Surgery, Zhengzhou University People's Hospital, Zhengzhou, China.
Sleep and biological rhythms
|June 20, 2025
概括
阻塞性睡眠呼吸暂停 (OSA) 通过氧化应激和炎症等机制恶化嗅觉功能障碍. 需要更多的临床试验来证实这些发现,并开发治疗OSA患者的嗅觉丧失的方法.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 和嗅觉功能障碍有着双向的关系,每一种情况都会对另一个产生负面影响.
- 了解潜在的机制对于开发有效的治疗策略至关重要.
研究的目的:
- 系统地审查将OSA和嗅觉障碍联系在一起的关键机制.
- 分析睡眠障碍,间歇性缺氧和嗅觉功能障碍之间的相互作用.
主要方法:
- 在PubMed/MEDLINE (2024年10月) 上对过去十年的研究进行全面的文献搜索.
- 包括审查文章,实验研究和检查OSA和嗅觉功能障碍的临床试验.
- 分析包括氧化应激,炎症,中枢神经系统损伤和鼻腔气流阻塞在内的机制.
主要成果:
- 氧化应激,炎症,中枢神经系统损伤和鼻腔气流阻塞是OSA嗅觉功能障碍的主要驱动因素.
- 这些机制的相互作用是复杂的,表明涉及外围和中心因素的多因素病因.
- 存在强烈的关联,但目前的证据主要是实验性的,缺乏可靠的临床试验数据.
结论:
- 通过几个相互连接的病理生理路径,OSA显著促进嗅觉功能障碍.
- 未来的研究必须优先考虑临床试验,以验证这些机制,并为目标干预提供信息.
- 解决OSA可能为改善嗅觉功能提供治疗途径.
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