在COVID-19患者住院后患者中评估睡眠质量和睡眠呼吸障碍
Paula L Castellanos1, Parthkumar Satashia1, Mantavya Punj1
1Department of Allergy, Pulmonary and Sleep Medicine, Mayo Clinic, Jacksonville, FL, United States.
Frontiers in sleep
|December 22, 2025
概括
住院患有COVID-19的患者患有阻塞性睡眠呼吸暂停 (OSA) 和增加睡眠障碍的患病率非常高. 建议在住院后对这些患者进行睡眠药物评估.
科学领域:
- 睡眠医学 睡眠医学
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
背景情况:
- 住院治疗COVID-19与潜在的长期健康后果有关.
- 睡眠障碍和睡眠呼吸障碍是常见的,但在COVID-19后尚未得到充分研究.
研究的目的:
- 在住院后的COVID-19患者中调查睡眠障碍和睡眠呼吸障碍的患病率.
- 为了比较COVID-19幸存者和没有COVID-19的对照组之间的睡眠参数.
主要方法:
- 横截面研究将47名住院后的COVID-19患者与46名对照进行了比较.
- 使用了问卷 (PSQI,ESS,FSS) 和家庭睡眠呼吸暂停测试 (HSAT).
- 阻塞性睡眠呼吸暂停 (OSA) 由呼吸暂停-呼吸暂停指数 (AHI) ≥5来定义.
主要成果:
- COVID-19病例年龄较大,报告睡眠质量差,白天嗜睡增加和疲劳.
- 阻塞性睡眠呼吸暂停 (OSA) 的患病率在COVID-19病例 (97.4%) 和对照病例 (72.5%) 中显著更高.
- 虽然OSA的严重程度在病例中呈现较高的趋势,但在调整年龄和BMI后,AHI的差异在统计学上并不显著.
结论:
- 住院后的COVID-19患者表现出阻塞性睡眠呼吸暂停 (OSA) 的非常高的患病率.
- 这些患者还经历了睡眠障碍,白天嗜睡和疲劳的增加.
- 对于因COVID-19住院治疗的人来说,需要进行睡眠药物评估.
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