神经心理测试模式与高比例的睡眠呼吸暂停诊断有关
Robert J Przybelski1, Anna G Przybelski2, Meredith E Rumble3
1Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Brain and behavior
|December 23, 2025
概括
老年人的打和特定的记忆测试模式可能表明阻塞性睡眠呼吸暂停 (OSA). 患有这些症状的记忆诊所患者应接受睡眠评估,以确定潜在的OSA诊断.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 老年病的医生 老年病的医生
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 在老年患者中很普遍,与包括阿尔茨海默病在内的认知衰退有关.
- 一种非典型的记忆测试模式 (即时回忆低于延迟回忆) 与OSA相关.
- 使用可重复电池用于评估神经心理状态 (RBANS) 观察到这种模式.
研究的目的:
- 为了研究打的预测价值与不寻常的RBANS记忆模式相结合,用于识别老年记忆诊所患者的OSA.
- 评估这些标准在触发睡眠评估时的有用性.
主要方法:
- 一项研究包括来自大学记忆诊所的老年患者 (2016-2020年),其迷你精神状态检查得分≥25.
- 如果患者打,并且RBANS即时记忆指数得分≥1点低于延迟记忆指数得分,则被转诊进行睡眠评估.
- 没有使用其他标准来触发转介.
主要成果:
- 在251名转诊患者中,158名 (80%) 被诊断患有OSA.
- 转诊标准 (打和特定的RBANS模式) 发现OSA的高患病率.
结论:
- 阳性睡眠研究的高率表明,打和描述的RBANS模式是记忆诊所患者OSA的重要指标.
- 建议将老年记忆患者推进行睡眠评估,以诊断潜在的OSA.
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