阻塞性睡眠呼吸暂停和自主性失败之间的关系
Renata Maria de Carvalho Cremaschi1,2, Fernando Morgadinho Santos Coelho1,2, Sasha Moran1
1Mass General Brigham, Department of Neurology, Boston, Massachusetts, USA.
概括
白天自主功能障碍和小纤维神经病变在阻塞性睡眠呼吸暂停 (OSA) 中很常见. 自主性衰竭的严重程度与OSA严重程度相关,可能增加心血管风险.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 心脏病学 心脏病学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 与各种健康问题有关.
- 自主神经系统功能障碍在OSA患者中越来越被认可.
研究的目的:
- 在患有阻塞性睡眠呼吸暂停 (OSA) 的患者中调查白天自主性失调.
- 评估OSA严重程度与自主功能之间的关系.
主要方法:
- 对138名接受自主测试和多睡眠图的成年患者进行了回顾性分析.
- 用深呼吸,瓦萨尔瓦机动和倾斜测试来评估自主功能.
- 通过皮肤活检来评估小纤维神经病变;OSA的严重程度由呼吸暂停-呼吸暂停指数来确定.
主要成果:
- 78%的OSA患者表现出中度至重度的自主性衰竭,而非OSA对照组中,这一比例为60%.
- 自主失败得分随着OSA严重程度显著增加 (P < 0.001).
- 小纤维神经病变在中度/重度OSA患者 (70.8%) 和对照组 (41.8%) 中更为普遍.
结论:
- 自主性衰竭,特别是小纤维自主性神经病变,在OSA患者中很普遍.
- 自主性衰竭的程度与OSA的严重程度成正比.
- 在OSA中,自主功能障碍可能是额外的心血管风险因素.
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