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Sleep disordered breathing in interstitial lung disease: A review 被引量:2
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作者 Lauren K Troy Tamera J Corte 《World Journal of Clinical Cases》 SCIE 2014年第12期828-834,共7页
Patients with interstitial lung disease commonly exhibit abnormal sleep architecture and increased sleep fragmentation on polysomnography. Fatigue is a frequent complaint, and it is likely that poor sleep quality is a... Patients with interstitial lung disease commonly exhibit abnormal sleep architecture and increased sleep fragmentation on polysomnography. Fatigue is a frequent complaint, and it is likely that poor sleep quality is a significant contributor. A number of studies have shown that sleep disordered breathing is prevalent in this population, particularly in the idiopathic pulmonary fibrosis subgroup. The factors that predispose these patients to obstructive sleep apnoea are not well understood, however it is believed that reduced caudal traction on the upper airway can enhance collapsibility. Ventilatory control system instability may also be an important factor, particularly in those with increased chemo-responsiveness, and in hypoxic conditions. Transient, repetitive nocturnal oxygen desaturation is frequently observed in interstitial lung disease, both with and without associated obstructive apnoeas. There is increasing evidence that sleep-desaturation is associated with increased mortality, and may be important in the pathogenesis of pulmonary hypertension in this population. 展开更多
关键词 sleep DISORDERED breathing INTERSTITIAL lung disease Pulmonary fibrosis NOCTURNAL hypoxia OBSTRUCTIVE sleep APNOEA
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Prevalence of sleep-disordered breathing in elderly patients with cardiac pacemaker: a case-control study
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作者 Haiyun WU Shiwen WANG Jianping JIA Wenli ZHANG Qiang XU 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2005年第2期114-117,共4页
Objective To investigate the prevalence of sleep-disordered breathing in elderly patients with permanent cardiac pacemaker implantation due to bradyarrhythmias, and the relationship between pacing mode and patients... Objective To investigate the prevalence of sleep-disordered breathing in elderly patients with permanent cardiac pacemaker implantation due to bradyarrhythmias, and the relationship between pacing mode and patients' sleep apnea-hypopnea index.Methods Forty-four elderly patients (>60 years) with cardiac pacemaker and their 44 controls matched for gender, age, body mass index and cardiovascular morbidity were studied using polysomnography or portable sleep monitoring device. Results Prevalence of sleep-disordered breathing (apnea-hypopnea index ≥5/h) was 44.7% and the mean apnea-hypopnea index was 8.2 ±4.1/h in the cardiac pacemaker group, which were significantly higher than those in control subjects (25% and 4.6±2.4/h, respectively, P<0.01 and P<0.05). The mean apnea-hypopnea index of patients with DDD or AAI pacemaker was significantly lower than that of patients with VVI pacemaker. Conclusions Sleep-disordered breathing was more common in patients who had their cardiac pacemaker implanted due to bradyarrhythmias than in their matched controls. Compared with VVI pacing, DDD or AAI pacing may be more beneficial to patients with bradyarrhythmias and sleep-disordered breathing. 展开更多
关键词 sleep-disordered breathING BRADYARRHYTHMIA CARDIAC PACING CASE-CONTROL study
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Effect of continuous positive airway pressure ventilation on nocturnal ST-segment changes in patients with sleep-disordered breathing
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作者 Wenli Zhang Shiwen Wang Rui Chen Mohan Liu Lin Wang Lei Gao Caiyi Lu 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2007年第2期101-104,共4页
Objective To determine whether sleep-disordered breathing (SDB) may lead to nocturnal myocardial ischemia and whether the severity of this ischemia may be relieved by nasal continuous positive airway pressure (CPAP). ... Objective To determine whether sleep-disordered breathing (SDB) may lead to nocturnal myocardial ischemia and whether the severity of this ischemia may be relieved by nasal continuous positive airway pressure (CPAP). Methods Overnight polysomnogram examination and simultaneous 3-channel Holter monitoring were performed on 76 patients with moderate to severe SDB and no history of coronary heart disease. All the cases were treated with CPAP for one night. ST depression was defined as a ST segment decrease of more than 1 mm from baseline and lasting 1 min or more. The total duration (minutes) of ST depression was indexed to the total sleep time (minutes per hour of sleep). Results Twenty-eight patients (37%) showed ST segment depression during their sleep. Before CPAP treatment, the respiratory disturbance index (RDI) and arousal index were significantly higher during periods of ST depression than when ST segments were isoelectric, whereas no significant difference was found in blood oxygen saturation (SaO2). After the CPAP treatment of patients with ST depression, the duration of ST depression was significantly reduced from 36.8±18.9 to 11.4±13.2 min/h (P<0.05). ST depression-related indexes, including RDI, arousal index and the percentage of sleep time spent at SaO2 below 90% (TS90/ TST), were all significantly decreased, with RDI from 63.4±23.8 to 8.1±6.6 /h, arousal index from 51.2±18.9 to 9.6±5.4 /h, and TS90/ TST from 50.6±21.4 to 12.9±14.7% (P<0.05). Conclusion ST-segment depression is rather common in patients with moderate to severe SDB, and CPAP treatment can significantly reduce the duration of ST depression. ST depression in these patients may reflect the myocardial ischemia that really exists and the non-ischemic changes associated with recurrent SDB. 展开更多
关键词 ST-SEGMENT depression MYOCARDIAL ISCHEMIA sleep-disordered breathING continuous positive AIRWAY pressure
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Nocturnal myocardial ischemic events and sleep-disordered breathing in patients with coronary artery disease
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作者 Wenli ZHANG Shiwen WANG +4 位作者 Caiyi LU Peng LIU Rui CHEN Xian JI Yusheng ZHAO 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2004年第2期90-94,共5页
Objective To investigate the occurrence of nocturnal myocardial ischemia and its relationship with sleep-disordered breathing (apneas and oxygen desaturations) in patients with angina pectoris undergoing coronary angi... Objective To investigate the occurrence of nocturnal myocardial ischemia and its relationship with sleep-disordered breathing (apneas and oxygen desaturations) in patients with angina pectoris undergoing coronary angiography.Methods Eighty-two men and 14 women referred for consideration of coronary intervention were randomly selected. Observation by an overnight sleep monitor and Holter recording were performed to study sleep-disordered breathing (oxyhemoglobin desaturations≥4% and apnea-hypopneas),heart rates, and ST-segment depressions (≥ 1mm, ≥1 min).Results Nocturnal ST-segment depressions occurred in 37 % of the patients. ST-segment depression within 2 min after an apnea-hypopnea or desaturation occurred in 17% of the patients. This temporal association was seen in 21% of the patients with nocturnal ST-segment depressions, more frequently in men (P<0.05) and more frequently in those with severe disordered breathing (P<0.05).Most of these ST-segment depressions were preceded by a series of breathing events: repeated apnea-hypopneas or desaturations or both in 73% of the patients. Conclusions Episodes of nocturnal myocardial ischemia are common in patients with angina pectoris. A temporal relationship between sleep-disordered breathing and myocardial ischemia was present in some of our patients, and occurs more frequently in men and in those with severely disordered breathing. (J Geriatr Cardiol 2004;1(2):90-94.) 展开更多
关键词 angina pectoris myocardial ischemia coronary artery disease sleep-disordered breathing
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Gender Differences in Rapid Eye Movement-Related Sleep Disordered Breathing
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作者 Minjung Youn Joo Young Kwon +2 位作者 Kyu Sun Lee Jung Hyun Park Hyang Woon Lee 《Health》 2015年第1期106-111,共6页
Sleep disordered breathing (SDB) is an independent risk factor for cardiovascular disease. It is known to be associated more frequently with men than women, particularly in the premenopausal age range. The goal of thi... Sleep disordered breathing (SDB) is an independent risk factor for cardiovascular disease. It is known to be associated more frequently with men than women, particularly in the premenopausal age range. The goal of this study is to evaluate gender differences among Korean patients diagnosed with SBD. This study included 309 patients who visited our Sleep Clinic due to sleep-related symptoms and were diagnosed with SDB by overnight polysomnography (PSG). We analyzed age, gender, body mass index, various PSG indices including sleep stages, apnea-hypopnea index (AHI) and AHI ratio in rapid eye movement (REM) versus non-REM (NREM) sleep stages (R:N ratio). Of those 309 patients diagnosed with obstructive sleep apnea, 217 (70.2%) were men (mean age 51.05 ± 12.64 years) and 92 (29.8%) were women (mean age 64.53 ± 10.43 years). The mean AHI during total sleep time was 30.34 ± 21.17 in men and 21.47 ± 17.14 in women (P P P = 0.402). REM SDB with R:N ratio higher than 2.0 was more frequently observed in women than in men, 34.8% (32/92) of women, compared with 11.9% (26/217) in men (P 60 years old. These findings suggest the possibility of different pathophysiologic mechanisms of SDB between genders and also between NREM versus REM sleep, which can be partly explained by the influence of female sex hormones. 展开更多
关键词 Women sleep DISORDERED breathING OBSTRUCTIVE sleep APNEA Rapid Eye Movement sleep Apnea-Hypopnea Index
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Immune function in Japanese schoolchildren with sleep-disordered breathing: a preliminary study with analyses of salivary markers
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作者 Hiroshi Ueda Atsushi Horihata +4 位作者 Eka Matsumoto Genki Watanabe Myongsun Koh Kotaro Tanimoto Kazuo Tanne 《Open Journal of Stomatology》 2011年第4期150-157,共8页
The aim of this study was to assess the prevalence of sleep-disordered breathing (SDB) symptoms among primary schoolchildren, and to objectively determine the influence of SDB on the intra-oral environment through the... The aim of this study was to assess the prevalence of sleep-disordered breathing (SDB) symptoms among primary schoolchildren, and to objectively determine the influence of SDB on the intra-oral environment through the analysis of saliva. A questionnaire survey was conducted among approximately 400 children from a primary school in Hiroshima. Parents were asked to complete the questionnaire and provide their contact information if they allowed the collection of saliva samples from their children. Thirty-eight chil- dren agreed to participate in the saliva study. Habit- ual snoring and cessation of breathing during sleep were found in approximately 8% and 1% of children, respectively. The present results showed significant correlations between snoring and mouth breathing. A significant association between excessive daytime sle- epiness (EDS) and learning problems was found. Fur- thermore, among children between the ages of 7 and 12 years, those with EDS and learning problems tended to be older. SDB symptom scores were statisti- cally significant only in relation to EDS. The present study also demonstrated significantly higher levels of salivary IgA and cortisol in children with sleep-re- lated disorders. The present study determined the pre- valence and characteristics of SDB among Japanese primary schoolchildren and their effects on the oral environment. Approximately 8% of primary school- children with habitual snoring might need to be care- fully monitored for SDB symptoms and immune sta- tus to ensure proper psychological and physical deve- lopment. 展开更多
关键词 SCHOOLCHILDREN sleep-Disordered breathING SYMPTOMS Immune Function SALIVARY MARKERS
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Enuresis and sleep disordered breathing:An old and new link
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作者 Marco Zaffanello 《World Journal of Clinical Urology》 2016年第3期90-92,共3页
The causes of nocturnal enuresis(NE) are likely multifactorial.It has been related to several(urologicalnephrological-hormonal) reasons but clear and univocal pathogenesis remains mostly undetermined.Sleep disordered ... The causes of nocturnal enuresis(NE) are likely multifactorial.It has been related to several(urologicalnephrological-hormonal) reasons but clear and univocal pathogenesis remains mostly undetermined.Sleep disordered breathing(SDB) is a syndrome of upper airway dysfunction that occurs during sleep and is characterized by snoring and/or increased respiratory effort secondary to increased upper airway resistance and pharyngeal collapsibility.Adenotonsillar hypertrophy is the main cause of SDB in children.To date,several studies have associated childhood NE with coexistent SDB.Adenotonsillectomy was successful for both SDB and NE in about half of patients.Unfortunately,practical consensus guidelines for the management of primary NE do not mention,or marginally concern,SDB in these children,particularly in those who have treatment resistance and comorbidities.The concerns regard the concomitant presence of two relatively frequent sleep disorders,raising the question whether they are really coincidental problems of childhood. 展开更多
关键词 Children sleep DISORDERED breathING ENURESIS
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Sleep-disordered breathing and stroke:A relation to be considered
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作者 Ridvan Alimehmeti Arba Cecia +1 位作者 Arsen Seferi Ermir Roci 《World Journal of Clinical Cases》 SCIE 2016年第5期124-126,共3页
Stroke is a leading cause of death and disability.Despite expensive and elaborative research in finding out mechanisms of interrelation between sleep-disordered breathing(SDB)and stroke,there is yet much attention to ... Stroke is a leading cause of death and disability.Despite expensive and elaborative research in finding out mechanisms of interrelation between sleep-disordered breathing(SDB)and stroke,there is yet much attention to be given in stroke units worldwide to the prompt diagnosis and treatment of SDB in order to improve morbidity and mortality rates related with stroke.The preventive diagnosis and treatment of SDB reduce stroke rate and improves penumbra area in case of ischemic stroke.Stroke itself predispose to SDB,making the interrelationship more complicated.The review by Parra O and Arboix A reflects the results from carefully selected reviews reported in the literature so far.This review of the literature and presentation of the original study of the Authors based on their patients’data,enhances the conviction that there exists a direct relation between SDB and stroke.Diagnosis of SDB in new stroke cases should be sought and treated carefully whenever present. 展开更多
关键词 sleep-disordered STROKE HYPERTENSION PENUMBRA breathING
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Treatment of Chronic Temporomandibular Joint Pain and Sleep Disordered Breathing by Teledontic and Telegnathic Protocol Utilizing Total Joint Replacement
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作者 Joseph Yousefian Michael N. Brown +2 位作者 Samuel L. Bobek Norman C. Chiang Ryan Y. Chiang 《Open Journal of Orthopedics》 2017年第10期308-319,共12页
Orthopedic clinicians frequently encounter patients with temporomandibular joint (TMJ) pain and associated sleep disordered breathing (SDB) that coexists with the patient’s orthopedic conditions. The systemic effects... Orthopedic clinicians frequently encounter patients with temporomandibular joint (TMJ) pain and associated sleep disordered breathing (SDB) that coexists with the patient’s orthopedic conditions. The systemic effects and associated comorbidities caused by TMJ and associated SDB are commonly not recognized as potential contributors to the patient’s long-term orthopedic outcome. This article describes a comprehensive and interdisciplinary medical dental treatment, which was able to successfully address patient’s severe chronic TMJ, head, neck and shoulder pain as well as other health concerns including SDB. Moreover, a new teledontic and telegnathic treatment protocol and principles utilizing total joint replacement for care of patients with chronic TMJ pain and SDB will be introduced describing a completed case. 展开更多
关键词 sleep DISORDERED breathING Upper AIRWAY Resistance Syndrome TEMPOROMANDIBULAR JOINT Pharyngorofacial Disorders Teledontics Telegnathic Surgery Total JOINT Replacement
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Vertebro-basilar ischemic attacks and sleep-related breathing disorders
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作者 游国雄 杨红军 +1 位作者 竺士秀 张可经 《中国临床康复》 CSCD 2002年第1期132-133,共2页
Objective To study the relationship between vertebro basilar ischemic attacks (VBI) and sleep related breathing disorders (SRBD). Methods Polysomnographic examinations were performed on 45 VBI patients. The incidence ... Objective To study the relationship between vertebro basilar ischemic attacks (VBI) and sleep related breathing disorders (SRBD). Methods Polysomnographic examinations were performed on 45 VBI patients. The incidence and characteristics of SRBD, and its relationship with various clinical factors were analyzed. Results Eighteen cases (40%) were complicated with SRBD, among which 2/3 was obstructive and 1/3 was central types. They were correlated with obesity and prone to be suffered with cardiovascular disorders.Conclusions Brain stem dysfunction caused by long term repeated ischemias probably is the pathogenesis of SRBD, especially it’s central type, in VBI. The arrhythmia and hypertension secondary to SRBD may aggravate VBI. VBI and SRBD may be reciprocal and form a vicious circle which should draw attention in the prevention and treatment of SRBD in VBI. 展开更多
关键词 椎-基动脉缺血 睡眠呼吸障碍 CVD 脑血管病
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健康中国视域下睡眠呼吸障碍性疾病的诊疗与管理策略
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作者 韩芳 《中国临床新医学》 2024年第1期1-5,共5页
社会的进步和科技的发展以及生活方式的改变,促进了人们对高质量睡眠的需求,也促使了睡眠障碍疾病发生率剧增。睡眠呼吸障碍性疾病作为睡眠障碍疾病中最常见的病种类型,是引起多系统疾病最常见的睡眠疾病。目前无创正压通气治疗作为其... 社会的进步和科技的发展以及生活方式的改变,促进了人们对高质量睡眠的需求,也促使了睡眠障碍疾病发生率剧增。睡眠呼吸障碍性疾病作为睡眠障碍疾病中最常见的病种类型,是引起多系统疾病最常见的睡眠疾病。目前无创正压通气治疗作为其首选治疗方法,仍存在依从性不佳的严峻问题,直接影响了睡眠呼吸障碍性疾病的整体治疗效果与治疗效率。如何高效提升睡眠呼吸障碍性疾病的整体管理应该是目前睡眠医学领域重点关注的最重要问题之一。在健康中国视域下,睡眠呼吸障碍性疾病的管理模式层出不穷,其中主动健康理念中睡眠主动健康作为通过激发内因、改变外因提高整体睡眠呼吸障碍性疾病的全程管理的先进理念与模式,可能为未来睡眠呼吸障碍性疾病的诊断、共病预防和治疗等方面起到更大的推动作用。 展开更多
关键词 睡眠医学 睡眠障碍 健康中国 睡眠呼吸障碍性疾病 主动健康 睡眠主动健康 疾病预防
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儿童阻塞性睡眠呼吸障碍患者腺样体和扁桃体增生的临床特征及其相关性研究
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作者 戴晓丽 宾翔 周永 《中国耳鼻咽喉颅底外科杂志》 CAS CSCD 2024年第2期97-101,共5页
目的 通过对因腺样体和/或扁桃体增生导致儿童阻塞性睡眠呼吸障碍(OSDB)需要手术的病例资料分析,探讨儿童OSDB患者腺样体和扁桃体增生程度的临床特征及相关性。方法 提取前瞻性病例数据库中737例因腺样体和/或扁桃体增生导致OSDB进行了... 目的 通过对因腺样体和/或扁桃体增生导致儿童阻塞性睡眠呼吸障碍(OSDB)需要手术的病例资料分析,探讨儿童OSDB患者腺样体和扁桃体增生程度的临床特征及相关性。方法 提取前瞻性病例数据库中737例因腺样体和/或扁桃体增生导致OSDB进行了腺样体和/或扁桃体切除术患儿的临床资料。把性别、年龄、腺样体大小、扁桃体大小等设为观察指标。对数据进行统计学分析,对相关问题进行讨论。结果 在儿童OSDB患儿中:(1)腺样体增生程度随年龄上升呈下降趋势,扁桃体增生程度则随年龄增加呈上升趋势,差异具有统计学意义(P<0.01)。(2)腺样体和扁桃体增生程度平均得分均值差异具有统计学意义(P<0.01),腺样体增生程度高于扁桃体增生程度;这种差异在<6岁年龄段的儿童中尤其显著。(3)腺样体和扁桃体增生程度与性别无关(P均>0.05)。(4)腺样体增生程度与年龄呈负相关(r=-0.210,P<0.01);扁桃体增生程度与年龄呈正相关(r=0.175,P<0.01);腺样体增生与扁桃体增生呈负相关(r=-0.119,P=0.001)。结论 在儿童OSDB患者中,腺样体和扁桃体的增生具有不同的趋势和特点;腺样体增生程度与年龄呈负相关,扁桃体增生程度与年龄呈正相关;总体上腺样体的增生程度高于扁桃体,腺样体的增生对儿童OSDB贡献度较扁桃体大。 展开更多
关键词 阻塞性睡眠呼吸障碍 儿童 腺样体 扁桃体 增生
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呼吸音分析在儿童常见呼吸系统疾病中的研究进展
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作者 张秋萍 徐勇胜 《中国医学科学院学报》 CAS CSCD 北大核心 2024年第5期763-768,共6页
呼吸音能够反映肺和气道的生理及病理状况,由于健康儿童和不同呼吸道疾病儿童呼吸音的声学特性不同,因而分析呼吸音可能为儿童呼吸系统疾病的诊断和治疗提供重要信息。随着数字听诊技术的发展,儿童呼吸音也逐渐成为研究热点。本文总结... 呼吸音能够反映肺和气道的生理及病理状况,由于健康儿童和不同呼吸道疾病儿童呼吸音的声学特性不同,因而分析呼吸音可能为儿童呼吸系统疾病的诊断和治疗提供重要信息。随着数字听诊技术的发展,儿童呼吸音也逐渐成为研究热点。本文总结了近些年呼吸音分析在儿童常见呼吸系统疾病诊治方面的研究进展,为相关领域的研究提供参考与借鉴。 展开更多
关键词 呼吸音分析 儿童 睡眠呼吸障碍 哮喘
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帕金森病伴睡眠障碍的研究进展
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作者 陆晓双 李成 +1 位作者 高霞 梁燕 《中国实用神经疾病杂志》 2024年第1期108-112,共5页
帕金森病(PD)是一种与运动和非运动症状相关的大脑退行性疾病,与环境、遗传、神经系统老化等多种因素有关。近年的调查研究显示,中国PD平均患病年龄60岁,在65岁以上人群中,每10万人约1700名患者。睡眠障碍是PD的非运动症状之一,临床表... 帕金森病(PD)是一种与运动和非运动症状相关的大脑退行性疾病,与环境、遗传、神经系统老化等多种因素有关。近年的调查研究显示,中国PD平均患病年龄60岁,在65岁以上人群中,每10万人约1700名患者。睡眠障碍是PD的非运动症状之一,临床表现包括失眠、白天过度嗜睡、不宁腿综合征、快速眼动期睡眠行为障碍以及睡眠呼吸障碍等多种类型。由于存在个体差异,PD伴睡眠障碍疾病治疗过程中应在医生指导下选择最适合患者个体的药物。本文对PD睡眠障碍发病机制和常用药物治疗方案进行综述,希望能够为今后PD伴睡眠障碍的治疗提供新的思路。 展开更多
关键词 帕金森病 大脑退行性疾病 睡眠障碍 非运动症状 失眠 白天过度嗜睡 不宁腿综合征 快速眼动期睡眠行为障碍 睡眠呼吸障碍
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OSA儿童错[牙合]畸形矫治临床路径
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作者 赵婷婷 贺红 《口腔医学》 CAS 2024年第8期561-564,共4页
儿童阻塞性睡眠呼吸暂停(obstructive sleep apnea,OSA)是睡眠呼吸障碍中最严重的类型,可导致牙颌面错牙合畸形,而后者又可造成儿童OSA的发生与发展。OSA儿童错牙合畸形的治疗需要多学科合作,建议正畸医师在接诊儿童患者时密切关注患儿... 儿童阻塞性睡眠呼吸暂停(obstructive sleep apnea,OSA)是睡眠呼吸障碍中最严重的类型,可导致牙颌面错牙合畸形,而后者又可造成儿童OSA的发生与发展。OSA儿童错牙合畸形的治疗需要多学科合作,建议正畸医师在接诊儿童患者时密切关注患儿的睡眠呼吸状况,对伴有OSA的错牙合畸形患儿,应综合考量患儿的年龄、生长发育阶段、OSA严重程度及错牙合畸形表现,制定个性化的治疗方案,为患儿牙颌面乃至全身的健康发育创造有利条件。 展开更多
关键词 儿童阻塞性睡眠呼吸暂停 错牙合畸形 口呼吸 早期矫治
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阻塞性睡眠呼吸暂停患儿家属对张口呼吸认识状况的质性研究
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作者 严芳 张玉敏 周敏 《循证护理》 2024年第11期2043-2046,共4页
目的:了解阻塞性睡眠呼吸暂停(OSA)患儿家属对患儿张口呼吸认识状况,为实施有效的干预措施提供科学依据。方法:采用质性研究中的现象学研究方法,对符合标准的15名研究对象进行半结构、面对面访谈,采用Colaizzi七步分析法对访谈资料进行... 目的:了解阻塞性睡眠呼吸暂停(OSA)患儿家属对患儿张口呼吸认识状况,为实施有效的干预措施提供科学依据。方法:采用质性研究中的现象学研究方法,对符合标准的15名研究对象进行半结构、面对面访谈,采用Colaizzi七步分析法对访谈资料进行分析、提炼主题。结果:共获得5个主题,分别是感知到儿童OSA对患儿的不良影响、缺乏正规途径了解张口呼吸相关知识、缺乏正确判断患儿是否存在张口呼吸的方法、处理张口呼吸的方式不正确、患儿家属对手术治疗结果期待过高。结论:OSA患儿家属能积极通过各种途径了解儿童OSA的危害,但对于张口呼吸的危害认识不足,缺乏正规了解张口呼吸相关知识途径,且缺乏简易的检测口鼻气流的方法,有些家属在发现患儿张口呼吸后也并没有采取正确的干预措施。护理人员可通过指导患儿家属进行简易判断张口呼吸的方法,促使家属及早发现张口呼吸,进行干预治疗,术后也可更准确观察术后效果,积极控制相关危险因素,从而更好地避免颌面部畸形等并发症的发生,达到患儿及家属预期的治疗效果。 展开更多
关键词 儿童 阻塞性睡眠呼吸暂停 张口呼吸 质性研究
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儿童口呼吸诊断及对牙颌面发育的影响
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作者 郑阳山 袁学顺 +2 位作者 姜晶 邱书奇 石照辉 《中国口腔颌面外科杂志》 CAS 2024年第1期92-101,共10页
上气道阻塞可导致口呼吸,其在儿童中发病率较高。儿童早期是牙颌面的快速发育期,长期口呼吸会造成儿童牙颌面畸形及睡眠呼吸障碍,严重危害儿童健康。口呼吸需要耳鼻咽喉科、口腔科、睡眠专科等共同进行预防和管理。近年来,越来越多的研... 上气道阻塞可导致口呼吸,其在儿童中发病率较高。儿童早期是牙颌面的快速发育期,长期口呼吸会造成儿童牙颌面畸形及睡眠呼吸障碍,严重危害儿童健康。口呼吸需要耳鼻咽喉科、口腔科、睡眠专科等共同进行预防和管理。近年来,越来越多的研究关注儿童口呼吸的诊断及对牙颌面发育的影响以及可能的机制,但引起口呼吸的病因、准确的临床诊断和评价、对牙颌面发育的影响机制和结局、与睡眠呼吸障碍的关系以及对手术治疗方式的选择和术后治疗仍然存在争议。本文针对以上问题,对近年的研究进展进行综述,旨在进一步推进此领域的相关研究。 展开更多
关键词 儿童口呼吸 牙颌面畸形 腺样体面容 睡眠呼吸障碍 腺样体扁桃体肥大
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远程医疗在神经病学中的应用以及研究进展
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作者 田雨禾 康瑞雪 +3 位作者 陈学丛 郝晨宇 汤佳 时宝林 《中国医学装备》 2024年第4期170-176,共7页
远程医疗是指用于在无身体接触的情况下为患者提供护理和服务的电子和电信技术和医疗服务。在神经病学领域中,许多慢性疾病的诊断、评估都可以借助远程医疗实施,远程医疗作为辅助就诊方法可以减轻患者就医的经济和医疗负担,提高诊治的... 远程医疗是指用于在无身体接触的情况下为患者提供护理和服务的电子和电信技术和医疗服务。在神经病学领域中,许多慢性疾病的诊断、评估都可以借助远程医疗实施,远程医疗作为辅助就诊方法可以减轻患者就医的经济和医疗负担,提高诊治的效率和患者的依从性。综述癫痫、重症肌无力、睡眠呼吸通气障碍、帕金森病(PD)中远程医疗的最新研究以及应用进展,以期为临床诊疗提供借鉴。 展开更多
关键词 远程医疗 神经病学 癫痫 睡眠呼吸通气障碍 帕金森病(PD) 重症肌无力
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肺气肿对阻塞性睡眠呼吸暂停综合征患者睡眠呼吸监测指标的影响
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作者 廖秀枝 吴凯钦 陈清妹 《世界睡眠医学杂志》 2024年第5期1181-1183,共3页
目的:探讨合并肺气肿对阻塞性睡眠呼吸暂停综合征(OSAS)患者睡眠呼吸监测指标的影响。方法:选取2022年4月至2023年9月三明市第一医院收治的OSAS患者72例作为研究对象,按照是否合并肺气肿分为对照组和观察组,对照组为单纯OSAS患者不合并... 目的:探讨合并肺气肿对阻塞性睡眠呼吸暂停综合征(OSAS)患者睡眠呼吸监测指标的影响。方法:选取2022年4月至2023年9月三明市第一医院收治的OSAS患者72例作为研究对象,按照是否合并肺气肿分为对照组和观察组,对照组为单纯OSAS患者不合并肺气肿(n=41),观察组合并肺气肿(n=31),采用多导睡眠呼吸监测器监测2组患者的睡眠呼吸情况,并比较睡眠呼吸监测指标,比较2组患者的肺功能指标水平,比较2组患者睡眠状态下的血氧相关指标,比较2组患者睡眠质量。结果:观察组患者的睡眠监测指标均显著高于对照组,差异有统计学意义(P<0.05),观察组患者的FEV_(1)%、FEV_(1)/FVC以及TV均显著低于对照组,差异有统计学意义(P<0.05),观察组患者的血氧饱和度均显著高于对照组,差异有统计学意义(P<0.05),观察组最低80%以下氧饱和度次数和最低80%以下氧饱和度时间均显著低于对照组,差异有统计学意义(P<0.05),观察组患者的PSQI评分显著低于对照组,差异有统计学意义(P<0.05)。结论:合并肺气肿对OSAS患者的睡眠呼吸监测指标、肺功能指标以及血氧含量均会产生不良影响,临床上可针对合并疾病的患者及时作出治疗方案。 展开更多
关键词 肺气肿 阻塞性睡眠呼吸暂停综合征 睡眠呼吸监测 肺功能 血氧指标 睡眠呼吸暂停低通气指数 血氧饱和度 入睡潜伏期
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军队人员阻塞性睡眠呼吸障碍健康促进需求分析
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作者 孙建伟 苗江涛 常艳 《中国疗养医学》 2024年第1期103-105,共3页
阻塞性睡眠呼吸障碍(obstructive sleep disordered breathing,OSDB)是由于上气道狭窄或塌陷而产生的一组全身性疾患,发病率随着肥胖人群的增多呈上升趋势,可严重损害军队人员心血管、代谢、呼吸等系统,同时影响注意力、记忆力、心理状... 阻塞性睡眠呼吸障碍(obstructive sleep disordered breathing,OSDB)是由于上气道狭窄或塌陷而产生的一组全身性疾患,发病率随着肥胖人群的增多呈上升趋势,可严重损害军队人员心血管、代谢、呼吸等系统,同时影响注意力、记忆力、心理状态等军事认知作业能力,其鼾声易暴露己方目标和影响同寝室战友睡眠质量,均须引起高度关注。随着实战化加速推进,军队人员作业强度增大,经常长时间处于高戒备值班状态,但以新时期战斗力标准衡量,OSDB健康促进措施仍缺乏系统性和科学性,急需进行横断面调查研究并分析相关危险因素,从而探索开展预防管理和适宜治疗,进一步完善分级诊疗机制。本文结合军队人员OSDB的国内外研究现状,分析卫勤保障存在问题并提出建议对策,旨为进行规范性健康管理提供理论参考。 展开更多
关键词 军队人员 阻塞性睡眠呼吸障碍 健康促进
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