白天嗜睡和清醒和睡眠 Bruxism 报告在阻塞性睡眠呼吸暂停患者之间的关系
Matteo Pollis1, Frank Lobbezoo2,3, Luca Guarda-Nardini4
1Department of Medical Biotechnology, School of Dentistry, University of Siena, Siena, Italy.
Journal of oral rehabilitation
|July 24, 2025
概括
在阻塞性睡眠呼吸暂停 (OSA) 患者中,白天嗜睡的预测是清醒时的 (AB),而不是睡眠时的 (SB) 或OSA的严重程度. 这一发现强调了AB作为影响OSA个体睡眠的潜在因素.
科学领域:
- 睡眠医学 睡眠医学
- 神经学 神经学
- 牙科 睡眠医学 睡眠医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种常见的睡眠障碍,与各种健康问题有关.
- 白天嗜睡是OSA患者普遍出现的症状,影响生活质量.
- 牙不自主地或牙,发生在清醒 (AB) 和睡眠 (SB) 形式,可能与睡眠障碍有关.
研究的目的:
- 调查日间嗜睡和自我报告的清醒性 Bruxism (AB) 和睡眠性 Bruxism (SB) 在确诊阻塞性睡眠呼吸暂停 (OSA) 的患者之间的关联.
- 为了确定OSA的严重程度是否会影响 Bruxism 和白天嗜睡之间的关系.
主要方法:
- 174名经过测谎验证的OSA患者完成了AB,SB (BRUX尺度) 和白天嗜睡 (爱普沃思嗜睡量表) 的自我报告问卷.
- 呼吸暂停-呼吸暂停指数和最小氧和 (MinSat) 用于评估OSA的严重程度.
- 用皮尔森的相关性和多重线性回归分析来评估关联.
主要成果:
- 在白天嗜睡和总BRUX评分,AB评分和MinSat之间发现了一个弱但显著的相关性.
- 在OSA严重程度与其他变量之间没有观察到显著的相关性.
- 多重线性回归表明,只有醒着的布鲁克斯症 (AB) 布鲁克斯尺度得分能够显著预测白天的嗜睡.
结论:
- 自我报告的清醒 Bruxism (AB) 对患有 OSA 的个体的白天嗜睡有预测作用.
- 在白天嗜睡和阻塞性睡眠呼吸暂停 (OSA) 严重程度之间没有发现显著的相关性.
- 这些发现表明,AB可能是管理OSA患者白天嗜睡的重要因素.
更多相关视频
04:53Author Spotlight: Traditional Chinese Medicine for Sleep Disorders in Acute COPD — A Safe, Cost-Effective Approach
Published on: October 18, 2024
907
06:23A Chronic Sleep Fragmentation Model using Vibrating Orbital Rotor to Induce Cognitive Deficit and Anxiety-Like Behavior in Young Wild-Type Mice
Published on: September 22, 2020
5.5K
相关概念视频
Sleep Apnea
221
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...
221
Substance Use Disorders Affecting Sleep
217
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,...
217
Sleepwalking and Sleep Talking
317
Somnambulism, commonly known as sleepwalking, involves individuals engaging in activities ranging from simple walking to more complex behaviors such as driving. Sleepwalking typically occurs during the slow-wave sleep stages 3 and 4 early in the night when the person is not dreaming, contradicting the myth that sleepwalkers are acting out their dreams.
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
317
Sleep-Wake Cycles
1.6K
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:
1.6K
Insufficient Sleep and Sleep Deprivation
218
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
218
REM Sleep Behavior Disorder
413
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...
413
