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持续气道正压通气在阻塞性睡眠呼吸暂停低通气综合征患者高血压治疗中的作用:随机试验综述

The role of continuous positive airway pressure in the treatment of hypertension in patients with obstructive sleep apnea-hypoapnea syndrome: a review of randomized trials.

作者信息

Rao Mohan, Rajda Geet, Uppuluri Sarada, Beck G Ronald, Liu Lynn, Bisognano John D

机构信息

Department of Internal Medicine, Cardiology Division, University of Rochester Medical Center, Rochester, NY, USA.

出版信息

Rev Recent Clin Trials. 2010 Jan;5(1):35-42. doi: 10.2174/157488710790820526.

DOI:10.2174/157488710790820526
PMID:20205686
Abstract

Obstructive sleep apnea-hypoapnea syndrome (OSA) is a disorder that results in repetitive occlusion of the airway and hypoxemia during sleep. Epidemiologic studies have associated this disorder with increased cardiovascular morbidity and mortality. Systemic hypertension is prevalent among patients with OSA and has been recognized as a common identifiable cause of hypertension. Nasal continuous positive airway pressure (nCPAP) ventilation is an effective therapy for OSA and it may additionally reduce blood pressure. The use of nCPAP ventilation to treat hypertension in patients with OSA has been studied extensively. However, whether it is effective in treating hypertension in this population remains unclear. This review evaluates the recent literature that investigates the effects of nCPAP ventilation on hypertension in patients with OSA.

摘要

阻塞性睡眠呼吸暂停低通气综合征(OSA)是一种在睡眠期间导致气道反复阻塞和低氧血症的疾病。流行病学研究已将这种疾病与心血管发病率和死亡率的增加联系起来。系统性高血压在OSA患者中很常见,并且已被认为是高血压的常见可识别病因。鼻持续气道正压通气(nCPAP)是治疗OSA的有效方法,它还可能降低血压。使用nCPAP通气治疗OSA患者的高血压已得到广泛研究。然而,它在该人群中治疗高血压是否有效仍不清楚。本综述评估了最近研究nCPAP通气对OSA患者高血压影响的文献。

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引用本文的文献

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Obstructive sleep apnea syndrome: coagulation anomalies and treatment with continuous positive airway pressure.阻塞性睡眠呼吸暂停综合征:凝血异常与持续气道正压通气治疗
Sleep Breath. 2016 May;20(2):457-65. doi: 10.1007/s11325-015-1227-6. Epub 2015 Jul 14.
2
All-cause mortality from obstructive sleep apnea in male and female patients with and without continuous positive airway pressure treatment: a registry study with 10 years of follow-up.接受和未接受持续气道正压通气治疗的男性和女性阻塞性睡眠呼吸暂停患者的全因死亡率:一项长达10年随访的登记研究
Nat Sci Sleep. 2015 Apr 9;7:43-50. doi: 10.2147/NSS.S75166. eCollection 2015.
3
Obstructive sleep apnea, hypertension and cardiovascular diseases.
阻塞性睡眠呼吸暂停、高血压与心血管疾病。
J Hum Hypertens. 2015 Dec;29(12):705-12. doi: 10.1038/jhh.2015.15. Epub 2015 Mar 12.
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Mandibular advancement device vs. CPAP in the treatment of obstructive sleep apnea: are they equally effective in Short term health outcomes?下颌前移装置与 CPAP 治疗阻塞性睡眠呼吸暂停:在短期健康结局方面它们同样有效吗?
J Clin Sleep Med. 2013 Sep 15;9(9):971-2. doi: 10.5664/jcsm.3008.