在慢性药物使用者中,积极的气道压力疗法启动和继续使用二胺
Nicholas T Vozoris1,2,3,4, Jin Luo4, Peter C Austin4,5
1Division of Respirology, St. Michael's Hospital, Toronto, Ontario, Canada.
Journal of sleep research
|December 19, 2025
概括
用正气道压力 (PAP) 疗法治疗阻塞性睡眠呼吸暂停并没有减少长期使用者使用二的情况. 这项研究没有发现PAP和非PAP使用者之间停止服用镇静剂的显著差异.
科学领域:
- 睡眠医学 睡眠医学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 治疗可以改善失眠.
- OSA治疗对镇静剂药物使用的影响尚不清楚.
研究的目的:
- 评估是否启动正气道压力 (PAP) 治疗可以减少长期使用者使用二.
- 评估PAP治疗与二胺类药物停药之间的关联.
主要方法:
- 基于人口的回顾性队列研究,使用安大略省卫生行政数据 (2012-2020年).
- 包括18岁以上的成年人,他们是长期使用二胺的.
- 倾向性得分匹配分析了249,516名个人 (10,688名新的PAP用户) 在3-9个月内停止使用二.
主要成果:
- 在新的PAP使用者和非PAP使用者 (8.2%与8.3%) 之间没有观察到二类药物停药的显著差异.
- 暂停治疗的相对风险为0.98 (95% CI 0.90-1.07).
- 开始PAP并没有影响在3-9个月内停止使用二.
结论:
- 开始用于阻塞性睡眠呼吸暂停的PAP治疗似乎没有减少长期使用者使用二.
- 结果表明,通过减少对镇静药物的依赖,PAP在改善并发失眠的有效性方面存在不确定性.
相关概念视频
Anxiolytic Drugs: Benzodiazepines and Buspirone
2.3K
Benzodiazepines are a class of anxiolytic drugs known for their rapid efficacy and high therapeutic-to-lethal dose ratio, but with a potential risk of drug dependence. These drugs are lipophilic, allowing for rapid absorption after oral administration, eventually reaching the central nervous system (CNS). Once in the CNS, benzodiazepines bind to the allosteric site of the GABAA receptor. This binding enhances the inhibitory effects of the neurotransmitter GABA. By doing so, they prevent...
2.3K
CNS Depressants: Barbiturates and Benzodiazepines
1.1K
CNS depressants include drugs from the category of barbiturates and benzodiazepines. They are valuable medications for managing anxiety disorders and insomnia. Barbiturates, once used to induce and maintain sleep, have been replaced mainly by benzodiazepines due to barbiturate's toxicity, tolerance, and overdose risks. They interact with GABAA receptors, leading to sedation at low doses and potentially coma and death at higher doses. Phenobarbital, a long-acting barbiturate, possesses...
1.1K
Sedatives and Hypnotics Drugs: Benzodiazepines
712
Benzodiazepines have both sedative and hypnotic properties. They include compounds such as diazepam (Valium) and alprazolam (Xanax). Structurally, their cores are similar, consisting of the fusion of a benzene ring and a diazepine ring, but they share a common mechanism of action in the central nervous system (CNS).
Benzodiazepines work by enhancing the effects of the inhibitory neurotransmitter GABA. They bind to the GABAA receptor, increasing its affinity for GABA, which opens chloride...
Benzodiazepines work by enhancing the effects of the inhibitory neurotransmitter GABA. They bind to the GABAA receptor, increasing its affinity for GABA, which opens chloride...
712
Anxiolytic Drugs: Overview
988
Anxiolytic drugs are vital in managing anxiety disorders by effectively alleviating symptoms such as excessive fear, tachycardia, and tremors. There are several classes of anxiolytic medications, each with unique mechanisms of action and potential side effects.
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic...
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic...
988
Drugs Used in Lower Respiratory Disorders: Overview
995
Lower respiratory tract disorders present challenges that often require skilled and nuanced approaches for effective management. Common ailments, such as asthma and chronic obstructive pulmonary disease (COPD), have prompted the development of intricate treatment strategies involving bronchodilators and anti-inflammatory drugs, each tailored to ease breathing and revitalize the lungs.
Bronchodilators, the first step of respiration enhancement, come in various forms, each with its own mechanism...
Bronchodilators, the first step of respiration enhancement, come in various forms, each with its own mechanism...
995
Sedatives and Hypnotics Drugs: Barbiturates
894
Sedatives and hypnotics encompass a drug class that acts on the central nervous system (CNS) to alleviate anxiety, promote relaxation and induce sleep.These drugs function by amplifying the actions of the neurotransmitter γ-aminobutyric acid (GABA), resulting in reduced neuronal activity. Barbiturates, a subset of sedatives and hypnotics first synthesized in the late 1800s, are categorized into ultra-short, short, intermediate, and long-acting groups based on their duration of effect. A...
894


