Davis Arielle P, Billings Martha E, Longstreth W T, Khot Sandeep P
Department of Neurology, Harborview Medical Center, University of Washington, Seattle.
Neurol Clin Pract. 2013 Jun;3(3):192-201. doi: 10.1212/CPJ.0b013e318296f274.
Sleep-disordered breathing is an increasingly recognized disorder that is particularly prevalent among stroke patients. Obstructive sleep apnea, a form of sleep-disordered breathing, is associated with multiple major stroke risk factors but is also an independent risk factor for stroke. In addition, untreated sleep apnea is associated with poor functional outcome after stroke. Sleep apnea is amenable to treatment and should be considered a modifiable stroke risk factor, though long-term compliance remains a major barrier. A better understanding of the relationship between sleep apnea and stroke may prompt providers to pursue the early diagnosis and treatment of underlying sleep-disordered breathing to both improve the chance of recovery from stroke in the short term and to reduce the risk of recurrent stroke in the long term.
睡眠呼吸障碍是一种日益受到认可的疾病，在中风患者中尤为普遍。阻塞性睡眠呼吸暂停是睡眠呼吸障碍的一种形式，与多种主要中风风险因素相关，但也是中风的独立风险因素。此外，未经治疗的睡眠呼吸暂停与中风后功能预后不良有关。睡眠呼吸暂停适合治疗，应被视为一种可改变的中风风险因素，尽管长期依从性仍然是一个主要障碍。更好地理解睡眠呼吸暂停与中风之间的关系，可能会促使医疗服务提供者对潜在的睡眠呼吸障碍进行早期诊断和治疗，以在短期内提高中风康复的机会，并在长期内降低复发性中风的风险。
