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患有不明原因头的患者中阻塞性睡眠呼吸暂停的患病率和危险因素:现实世界的研究

Norapat Limsirorat¹, Sitta Suntrawanichakul¹, Watchara Boonsawat¹

¹Division of Ambulatory Medicine, Department of Medicine, Faculty of Medicine, Khon Kaen University Hospital, Khon Kaen University, Khon Kaen 40002, Thailand.

Biomedical reports

|September 29, 2025

概括

阻塞性睡眠呼吸暂停 (OSA) 在经历不明原因的头的患者中非常普遍. 该STOPBang得分显示,在这个人群中,对查OSA的敏感度很高.

科学领域:

睡眠医学睡眠医学
耳鼻喉科耳鼻喉科耳鼻喉科
心脏病学心脏病学

背景情况:

阻塞性睡眠呼吸暂停 (OSA) 是一种常见的疾病,与系统性疾病有关,包括心血管和前庭功能障碍.
头是常见的临床投诉,但其与OSA的关系仍未得到充分研究.

研究的目的:

为了确定患有不明原因的头的患者中OSA的患病率.
为了确定与OSA相关的风险因素,在这个患者群体.
探索无法解释的头和OSA之间的潜在联系.

主要方法:

一项回顾性研究包括81名患有不明原因头的成年患者,他们接受了多重睡眠学.
排除标准包括怀孕和可识别的头原因.
OSA诊断基于每小时≥5次的呼吸暂停-呼吸暂停指数 (AHI);使用逻辑回归分析风险因素.

主要成果:

发现OSA的患病率很高,93.83%的患者被诊断为OSA (中位数AHI为23次/小时).
与非OSA患者相比,患有OSA的患者的子周长显著增加,STOPBang得分更高.
STOPBang得分与OSA独立相关 (调整后几率比:2.115),得分为3或以上,显示OSA检测的灵敏度为82.89%.

结论:

阻塞性睡眠呼吸暂停在出现不明原因的头的个体中非常普遍.
STOPBang问卷作为一种敏感的查工具,用于识别患有不明原因头的患者的OSA.

关键词:

头,头,可能会出现.阻塞性睡眠呼吸暂停症是什么聚类人体图像 (polysomnography) 是一种多人体图像.患病率的流行情况.前体功能障碍是什么?前体功能障碍是什么?

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