据报道,在疑似阻塞性睡眠呼吸暂停的患者中,白天嗜睡与骨科呼吸暂停、不宁腿和夜尿有关。

IF 2 4区 医学 Q3 CLINICAL NEUROLOGY
Kristin Marie Hoven, Hans-Jørgen Aarstad, Svein Erik Moe, Sverre K Steinsvåg
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引用次数: 0

摘要

目的:本研究旨在探讨疑似阻塞性睡眠呼吸暂停(OSA)患者日间嗜睡与OSA本身及OSA相关合并症和症状的相关性。方法:纳入1305例连续接受OSA检查的患者。他们在睡眠期间接受了标准的呼吸测谎,并完成了一份关于睡眠相关症状和体征的19项问卷,以及爱普沃斯嗜睡量表(ESS)。分析基于问卷回答和呼吸暂停-低呼吸指数(AHI)结果,并采用逐步回归分析。结果:使用ESS作为因变量,发现与自我报告的矫形(7%)和不宁腿(2%)的相关性最强。对于白天嗜睡,自我报告的不宁腿占方差的7.6%,其次是报告的矫形(3.8%)。关于白天易怒,自我报告的不宁腿占7.7%,其次是年龄(4.4%),报告的矫形(3%)和夜尿(1%)是显著因素。报告的开车时睡着的可能性与自述的不宁腿的严重程度(1.3%)、矫形(0.6%)和患者年龄(0.4%)密切相关。在工作表现方面,不宁腿是最强的预测因子(5.9%),其次是年龄(3.6%)和矫形(3%)。在分析上述变量时,AHI是影响ESS评分(1.7%)的重要解释因素,而睡眠是影响因素(0.4%)。结论:与AHI评分相比,日间嗜睡相关症状与报告的不宁腿、夜尿和矫形呼吸水平的相关性更强。如果出现不宁腿、矫形或夜尿,应在临床检查中评估是否有阻塞性睡眠呼吸暂停。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reported daytime sleepiness in relation to orthopnea, restless legs and nocturia in patients evaluated for suspected obstructive sleep apnea.

Purpose: The aim of the study is to explore the extent to which daytime sleepiness in patients with suspected Obstructive Sleep Apnea (OSA) was correlated with OSA itself and OSA-related comorbidities and symptoms.

Methods: 1,305 consecutive patients undergoing OSA workup were included. They underwent standard respiratory polygraphy during sleep and completed a 19-item questionnaire about sleep-related symptoms and signs, as well as the Epworth Sleepiness Scale (ESS). Analyses were based on questionnaire responses and the Apnea-Hypopnea Index (AHI) results and were conducted using stepwise regression analysis.

Results: Using the ESS as the dependent variable, the strongest associations were found with self-reported orthopnea (7%) and restless legs (2%). For daytime sleepiness, self-reported restless legs accounted for 7,6% of the variance, followed by reported orthopnea (3.8%). Regarding daytime irritability, self-reported restless legs accounted for 7.7%, followed by age (4.4%), reported orthopnea (3%), and nocturia (1%) as significant factors. Reported likelihood of falling asleep while driving was best associated with the severity of self-reported restless legs (1,3%), orthopnea (0.6%), and patient age (0.4%). For work performance, restless legs were the strongest predictor (5.9%), followed by age (3.6%) and orthopnea (3%). AHI emerged as a significant explanatory factor regarding ESS score (1.7%) and falling asleep as driver (0.4%) when analyzing the above-mentioned variables.

Conclusion: Daytime sleepiness-associated symptoms were more strongly correlated with reported levels of restless legs, nocturia, and orthopnea than with the AHI score. If restless legs, orthopnea, or nocturia are present, they should be evaluated during the clinical workup for suspected OSA.

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来源期刊
Sleep and Breathing
Sleep and Breathing 医学-呼吸系统
CiteScore
5.20
自引率
4.00%
发文量
222
审稿时长
3-8 weeks
期刊介绍: The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.
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