Bayon V, Leger D, Laaban J -P
Centre du sommeil et de la vigilance, Hôtel-Dieu de Paris, AP-HP, faculté de médecine Paris-5, 75004 Paris, France.
Rev Pneumol Clin. 2009 Apr;65(2):67-74. doi: 10.1016/j.pneumo.2008.12.001. Epub 2009 Mar 28.
Pneumologists frequently see obese and diabetic patients because of the high prevalence of these pathologies associated with sleep apneas. Nevertheless, the search for a sleep apnea syndrome is sometimes negative and the pneumologist is faced with unexplained complaints of sleepiness and sleep disorders. Pneumologists have to be familiar with and explore other nonrespiratory disorders in order to improve patient care. Inflammatory mechanisms have been suspected in several recent studies on daytime sleepiness. Sleep duration, obesity and diabetes are supposed to be linked because of hormonal modifications induced by sleep deprivation. Moreover, a relationship between diabetes and restless legs syndrome is not excluded.
由于与睡眠呼吸暂停相关的这些病症患病率很高,肺病专家经常会诊治肥胖和糖尿病患者。然而,有时对睡眠呼吸暂停综合征的检查结果呈阴性,肺病专家面临着无法解释的嗜睡和睡眠障碍主诉。为了改善患者护理,肺病专家必须熟悉并探究其他非呼吸系统疾病。在最近几项关于日间嗜睡的研究中,炎症机制受到了怀疑。由于睡眠剥夺引起的激素变化,睡眠时间、肥胖和糖尿病被认为是相互关联的。此外,糖尿病与不安腿综合征之间的关系也不能排除。