Sleep Medicine Research最新文献_第5页

Obstructive Sleep Apnea in a 2-Year-Old Down Syndrome Child: Successful Management With Adenotonsillectomy Followed by Rapid Maxillary Expansion Treatment 2岁唐氏综合症儿童的阻塞性睡眠呼吸暂停:腺扁桃体切除术后快速上颌扩张治疗的成功管理

Sleep Medicine Research Pub Date : 2022-09-30 DOI: 10.17241/smr.2022.01319

M. J. Park, Y. Kim, Yoo-Sam Chung

{"title":"Obstructive Sleep Apnea in a 2-Year-Old Down Syndrome Child: Successful Management With Adenotonsillectomy Followed by Rapid Maxillary Expansion Treatment","authors":"M. J. Park, Y. Kim, Yoo-Sam Chung","doi":"10.17241/smr.2022.01319","DOIUrl":"https://doi.org/10.17241/smr.2022.01319","url":null,"abstract":"Due to glossal and craniofacial skeletal abnormalities, children with Down syndrome (DS) are prone to obstructive sleep apnea (OSA), thus demanding an increased necessity for an earlier diagnosis and more strict control for OSA. Adenotonsillectomy (T&A op) is an effective surgical treatment method to reduce OSA in children. Nevertheless, it should be noted that T&A op in DS children might be insufficient to completely resolve OSA and that extra care is needed when performing a T&A op for airway obstruction in DS during the immediate postoperative period. The objective of the present study was to report a case of a 2-year-old male DS patient with severe OSA (apnea-hypopnea index [AHI] of 61.7/hr) which was consequently reduced to moderate OSA (AHI of 7.6/hr), followed by reduction to mild OSA (AHI of 4.8/hr) with an one-year of rapid maxillary expansion (RME) device application. With a 2-year application of the RME device, the hard palate width in the 1st and 2nd molar region was increased to 5.86 mm and 5.26 mm, respectively. This is the first case report describing that a severe OSA is reduced to moderate OSA with T&A op and further reduced to mild OSA with an RME device application.","PeriodicalId":37318,"journal":{"name":"Sleep Medicine Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41913272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Therapeutic Effect of Extended Uvulopalatal Flap Surgery in Patients With Obstructive Sleep Apnea 延长悬垂腭瓣手术治疗阻塞性睡眠呼吸暂停的疗效观察

Sleep Medicine Research Pub Date : 2022-09-30 DOI: 10.17241/smr.2022.01298

Jae-Yoon Kang, Se Yeon Im, Han Wool John Sung, M. Choi, Soo-Kyoung Park, Yong Min Kim

{"title":"Therapeutic Effect of Extended Uvulopalatal Flap Surgery in Patients With Obstructive Sleep Apnea","authors":"Jae-Yoon Kang, Se Yeon Im, Han Wool John Sung, M. Choi, Soo-Kyoung Park, Yong Min Kim","doi":"10.17241/smr.2022.01298","DOIUrl":"https://doi.org/10.17241/smr.2022.01298","url":null,"abstract":"Background and Objective Although numerous studies have reported surgical results of uvulopalatopharyngoplasty, efficacies of extended uvulopalatal flap (EUPF) surgery have only been reported in a few studies. Thus, the aim of this study was to evaluate the success rate of EUPF and investigate the advantage and practicality of this surgery.Methods Medical records of patients who underwent EUPF surgery were retrospectively analyzed. Through medical record analysis, demographic information was confirmed. Postoperative polysomnography (PSG) results were divided into a surgical ‘success’ group and a ‘failure’ group. Patients’ PSG results, questionnaires, and cephalometry were comparatively analyzed.Results All sleep parameters of PSG except rapid eye movement latency and hypopnea index were significantly improved after surgery. Ten patients were in the success group (success rate, 33.3%) and 20 patients were in the failure group. Among preoperative PSG parameters, apnea-hypopnea index, apnea index, and number of awakenings showed significant differences between the two groups. However, there were no significant differences in results of cephalometry or Friedman stage between the two groups.Conclusions The EUPF surgery can change sleep factors and improve subjective symptoms in obstructive sleep apnea patients. It could be considered as one of the treatment options for patients with surgical indications, although its success rate was only 33.3%.","PeriodicalId":37318,"journal":{"name":"Sleep Medicine Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43598902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of Atypical Antipsychotic Medications on the Risk of Obstructive Sleep Apnea in Individuals With Schizophrenia 非典型抗精神病药物对精神分裂症患者阻塞性睡眠呼吸暂停风险的影响

Sleep Medicine Research Pub Date : 2022-09-30 DOI: 10.17241/smr.2022.01326

Habibolah Khazaie, Siamand Mazhar, A. Moghadam, M. R. Ghadami, Sepideh Khazaie, A. Parvizifard

{"title":"Effect of Atypical Antipsychotic Medications on the Risk of Obstructive Sleep Apnea in Individuals With Schizophrenia","authors":"Habibolah Khazaie, Siamand Mazhar, A. Moghadam, M. R. Ghadami, Sepideh Khazaie, A. Parvizifard","doi":"10.17241/smr.2022.01326","DOIUrl":"https://doi.org/10.17241/smr.2022.01326","url":null,"abstract":"Background and Objective Weight gain and obesity could be side effects of taking atypical antipsychotic medications. They are major risk factors for obstructive sleep apnea. The purpose of this study was to investigate effects of atypical antipsychotic medications on the risk of obstructive sleep apnea in individuals with schizophrenia and control groups.Methods In this cross-sectional study, 123 patients with schizophrenia and 107 participants were selected from hospital staff and students using purposive sampling. Data were collected using structured clinical interview and Berlin questionnaires.Results Results showed that the risk of obstructive sleep apnea was significantly higher in individuals with schizophrenia. Age, body mass index, and phases of schizophrenia showed meaningful relationships with the duration of taking atypical antipsychotic medications with the risk of obstructive sleep apnea. However, the type of atypical antipsychotic medications did not have a significant relationship with the risk of obstructive sleep apnea.Conclusions Patients with schizophrenia treated with atypical antipsychotic medicationshave a higher risk of obstructive sleep apnea.","PeriodicalId":37318,"journal":{"name":"Sleep Medicine Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45728601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The Incidence of Renal Cell Carcinoma Is Increased in Patients With Obstructive Sleep Apnea 阻塞性睡眠呼吸暂停患者肾癌的发病率增加

Sleep Medicine Research Pub Date : 2022-09-30 DOI: 10.17241/smr.2022.01305

H. Park, W. Choi, J. Cho

引用次数: 0

Postural Effect on Obstructive Sleep Apnea: Sitting Versus Supine 姿势对阻塞性睡眠呼吸暂停的影响:坐与仰卧

Sleep Medicine Research Pub Date : 2022-09-30 DOI: 10.17241/smr.2022.01312

K. Ji

引用次数: 0

The High-Dose of Exogenous Melatonin Did Not Alter the Sleep-Wake Cycle in Anoxic Brain Injury Patients 高剂量外源性褪黑素不会改变缺氧性脑损伤患者的睡眠-觉醒周期

Sleep Medicine Research Pub Date : 2022-09-30 DOI: 10.17241/smr.2022.01361

M. Kanarskii, J. Nekrasova, Pranil M. Pradhan, I. Borisov, O. Korepina, E. Kondratyeva, Angelina Nikitkina, Marina Petrova

{"title":"The High-Dose of Exogenous Melatonin Did Not Alter the Sleep-Wake Cycle in Anoxic Brain Injury Patients","authors":"M. Kanarskii, J. Nekrasova, Pranil M. Pradhan, I. Borisov, O. Korepina, E. Kondratyeva, Angelina Nikitkina, Marina Petrova","doi":"10.17241/smr.2022.01361","DOIUrl":"https://doi.org/10.17241/smr.2022.01361","url":null,"abstract":"Disturbance in circadian rhythms and the sleep-wake cycle is typical for patients in the intensive care unit, which retards rehabilitation. To assess the effect of exogenous melatonin and simultaneous mitigation of intensive care unit environmental factors on sleep duration. We studied five patients with chronic disorder of consciousness caused by anoxic brain injury. In addition, we varied the level of melatonin secretion in blood plasma to assess melatonin’s bioavailability and elimination time. We evaluated the sleep-wake cycle using continuous videoelectroencephalogram monitoring with the addition of oculographic and myographic channels for 72 hours. All the patients received melatonin tablets on the second day, wore masks and ear plugs, and had no feeding and nursing manipulations at night on the second and third days. There was no significant difference in sleep time between the first, second, and third days. Future studies of the circadian rhythm should aim at gaining a deeper analysis of the characteristics of the sleep-wake cycle in patients with severe anoxic brain injury together with further research for possible ways to influence the circadian component of sleep.","PeriodicalId":37318,"journal":{"name":"Sleep Medicine Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45877357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The DBST Index, the Discrepancy Between Desired Time in Bed and Desired Total Sleep Time: The Possible New Sleep Index Predicting Severity of Insomnia DBST指数，期望卧床时间和期望总睡眠时间之间的差异:预测失眠严重程度的可能的新睡眠指数

Sleep Medicine Research Pub Date : 2022-09-30 DOI: 10.17241/smr.2022.01368

Seockhoon Chung

{"title":"The DBST Index, the Discrepancy Between Desired Time in Bed and Desired Total Sleep Time: The Possible New Sleep Index Predicting Severity of Insomnia","authors":"Seockhoon Chung","doi":"10.17241/smr.2022.01368","DOIUrl":"https://doi.org/10.17241/smr.2022.01368","url":null,"abstract":"Background and Objective We considered the concept of the DBST, the discrepancy between a patient’s desired time in bed (TIB) and desired total sleep time (TST). The DBST index can be used to easily assess a patient’s thoughts on their desired TST and dysfunctionally long TIB. This study aimed to explore whether the DBST index can predict the severity of insomnia.Methods A total of 374 members of the general population participated in this e-survey study. The participants answered questions regarding their bedtime, sleep onset time, wake-up time, desired TST, and desired TIB, and psychological symptoms were assessed using the Insomnia Severity Index (ISI), Patients Health Questionnaire–9 items (PHQ-9), Dysfunctional Beliefs and Attitudes about Sleep–16 items (DBAS-16), and Glasgow Sleep Effort Scale (GSES).Results The DBST index was significantly correlated with the ISI (r = 0.20, p < 0.01), PHQ-9 (r = 0.15, p < 0.01), GSES (r = 0.14, p < 0.01), DBAS-16 (r = 0.16, p < 0.01), desired TST (r = -0.62, p < 0.01), and desired TIB (r = 0.52, p < 0.01). Linear regression analysis showed that insomnia severity was predicted by persistent preoccupation with sleep (beta = 0.64, p < 0.001), dysfunctional beliefs about sleep (beta = 0.06, p < 0.001), depression (beta = 0.23, p < 0.001), and DBST (beta = 0.32, p = 0.035). The DBST directly influenced insomnia severity, and this association was shown to be mediated by dysfunctional beliefs and attitudes about sleep, preoccupation with sleep, and depression.Conclusions The DBST index could be a possible new sleep index due to its relationship with insomnia severity, depression, dysfunctional beliefs about sleep, and preoccupation with sleep. Further studies are needed to explore the consistency of the clinical sample.","PeriodicalId":37318,"journal":{"name":"Sleep Medicine Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45269919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Surgical Outcomes for Obstructive Sleep Apnea in Korea 韩国阻塞性睡眠呼吸暂停的手术结果

Sleep Medicine Research Pub Date : 2022-09-30 DOI: 10.17241/smr.2022.01424

Minkyeong Lee, Jae Yong Lee, J. Choi

{"title":"Surgical Outcomes for Obstructive Sleep Apnea in Korea","authors":"Minkyeong Lee, Jae Yong Lee, J. Choi","doi":"10.17241/smr.2022.01424","DOIUrl":"https://doi.org/10.17241/smr.2022.01424","url":null,"abstract":"Obstructive sleep apnea (OSA) is a common chronic sleep disorder that causes oxygen desaturations, sympathetic hyperactivation, and sleep fragmentation. The gold standard for OSA treatment in adults is positive airway pressure (PAP) therapy, which is effective when used during sleep. However, about half of patients with OSA refuse or are non-adherent to PAP, and some patients have anatomical problems that can be alleviated surgically. Surgery can be considered for patients who are very likely to have successful surgical results, but who are intolerant to PAP or oral appliances because of anatomical abnormalities. There are various surgical modifications of the upper airway for OSA, including nasal surgeries (e.g., septoplasty, turbinoplasty, and endoscopic sinus surgery), nasopharyngeal surgeries, oral and oropharyngeal surgeries (e.g., uvulopalatopharyngoplasty and variations, tonsillectomy, and palatal implants), hypopharyngeal surgeries (e.g., tongue ablation, tongue-base resection, and genioglossus advancement), and multi-level surgeries. Much clinical research has reported the outcomes of various surgical procedures for OSA internationally based on the traditional surgical success rate (defined as ≥ 50% reduction in the postoperative apnea-hypopnea index [AHI], postoperative AHI < 20), and AHI reduction ratio (defined as between the preoperative and postoperative AHI). In addition, many studies investigating the results of various OSA surgeries have been reported in Korea. In this article, we review the characteristics of various upper airway surgical procedures for OSA, global surgical results for OSA, and current surgical outcomes for OSA in Korea.","PeriodicalId":37318,"journal":{"name":"Sleep Medicine Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48413279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Insomnia Mediate the Influence of Reassurance-Seeking Behavior and Viral Anxiety on Preoccupation With COVID-19 Among the General Population 在普通人群中，失眠介导安抚-注视行为和病毒性焦虑对新冠肺炎预防的影响

Sleep Medicine Research Pub Date : 2022-07-08 DOI: 10.17241/smr.2022.01291

E. Cho, Dongin Lee, Inn-Kyu Cho, Joohee Lee, J. Ahn, Y. Bang

{"title":"Insomnia Mediate the Influence of Reassurance-Seeking Behavior and Viral Anxiety on Preoccupation With COVID-19 Among the General Population","authors":"E. Cho, Dongin Lee, Inn-Kyu Cho, Joohee Lee, J. Ahn, Y. Bang","doi":"10.17241/smr.2022.01291","DOIUrl":"https://doi.org/10.17241/smr.2022.01291","url":null,"abstract":"Background and Objective We explored in this study whether insomnia, viral anxiety, reassurance-seeking behavior, and preoccupation with coronavirus disease (COVID-19) are related among the general population. As well, we explored the possibility that insomnia may mediate the association between COVID-19 viral anxiety and preoccupation. Methods During November 9-15, 2021, 400 participants voluntarily completed this survey, and participants' age, sex, living location, and marital status were collected. Responses to questions about COVID-19 were also gathered, and their symptoms were rated using the Obsession with COVID-19 Scale (OCS), Coronavirus Reassurance-Seeking Behaviors Scale (CRBS), Fear of COVID-19 scale (FCV-19S), and Insomnia Severity Index (ISI). Results Preoccupation with COVID-19 was predicted by young age (beta = -0.08, p = 0.012), CRBS (beta = 0.52, p < 0.001), FCV-19S (beta = 0.30, p < 0.001), and ISI (beta = 0.07, p = 0.029) (adjusted R2 = 0.62, F = 163.6, p < 0.001). Mediation analysis showed that insomnia partially mediates the influence of reassurance seeking behavior and viral anxiety on preoccupation with COVID-19. Conclusions Sleep disturbances can contribute to a vicious cycle of hypochondriacal preoccupation with COVID-19. In order to reduce an individual's viral anxiety, insomnia symptoms must be addressed. Copyright © 2022 The Korean Society of Sleep Medicine","PeriodicalId":37318,"journal":{"name":"Sleep Medicine Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48828598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Effects of Melatonin on Sleep Quality and Disease Activity in Patients With Rheumatoid Arthritis 褪黑素对类风湿关节炎患者睡眠质量和疾病活动度的影响

Sleep Medicine Research Pub Date : 2022-06-30 DOI: 10.17241/smr.2022.01207

Tayebeh Palimi, M. Zilaee, Elham Rajaei, M. Karandish

{"title":"Effects of Melatonin on Sleep Quality and Disease Activity in Patients With Rheumatoid Arthritis","authors":"Tayebeh Palimi, M. Zilaee, Elham Rajaei, M. Karandish","doi":"10.17241/smr.2022.01207","DOIUrl":"https://doi.org/10.17241/smr.2022.01207","url":null,"abstract":"Background and Objective In rheumatoid arthritis (RA) patients sleep disturbance is one of serious and prevalent problems. Considering the known effects of melatonin on sleep quality and inflammation, this study aimed to investigate melatonin supplementation effect on quality of sleep and disease activity in patients with RA.Methods In this randomized, placebo-controlled trial (double-blind), 64 RA patients were selected and divided into experimental and placebo groups randomly; experimental group received 3 mg/d of melatonin and another group consumed placebo for 60 days. Before and after the investigation, assessment of the quality of sleep determined using the Pittsburgh Sleep Quality Index (PSQI). Disease Activity Score-28 (DAS28) and the Visual Analogue Scale (VAS) questionnaires were used for evaluation of disease activity and pain intensity, respectively.Results Melatonin significantly reduced PSQI, DAS28 and VAS scores, when values compared with baseline. In contrast to placebo group, good sleep quality within the melatonin group increased significantly compared to baseline and this improvement in sleep quality was significant when compared between groups. The scores of DAS28 and pain VAS at the end of trial were significantly reduced compared to the baseline in both groups. However, reduction in the DAS28 and VAS scores of the melatonin group were stronger than reductions in the placebo receiving group.Conclusions This study results revealed that melatonin was safe and effective in improving sleep quality and reducing DAS28 and pain VAS scores in RA patients.","PeriodicalId":37318,"journal":{"name":"Sleep Medicine Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45126742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0