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持续气道正压通气(CPAP)可治疗阻塞性睡眠呼吸暂停患者的肌肉痉挛。

CPAP treats muscle cramps in patients with obstructive sleep apnea.

作者信息

Westwood Andrew J, Spector Andrew R, Auerbach Sanford H

机构信息

Columbia University College of Physicians and Surgeons, New York, NY.

Department of Neurology, Duke University, Durham, NC.

出版信息

J Clin Sleep Med. 2014 Jun 15;10(6):691-2. doi: 10.5664/jcsm.3806.

Abstract

We describe a case series of 4 patients with varying degrees of obstructive sleep apnea who incidentally had a history of nocturnal leg cramps. None of the patients had periodic limb movements during the study and denied symptoms consistent with restless legs syndrome. In 3 of the 4 patients, nocturnal leg cramps resolved with CPAP treatment for OSA, while the fourth patient noted near-resolution of cramping after starting CPAP. In patients presenting with muscle cramps, obstructive sleep apnea should be considered.

摘要

我们描述了一组4例阻塞性睡眠呼吸暂停程度不同的患者,他们均有夜间腿部痉挛病史。在研究期间,所有患者均未出现周期性肢体运动,且否认有符合不宁腿综合征的症状。4例患者中有3例,阻塞性睡眠呼吸暂停的持续气道正压通气(CPAP)治疗使夜间腿部痉挛得到缓解,而第4例患者在开始使用CPAP后,腿部痉挛症状几乎完全缓解。对于出现肌肉痉挛的患者,应考虑阻塞性睡眠呼吸暂停。

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本文引用的文献

1
Nocturnal leg cramps.夜间腿部痉挛。
Am Fam Physician. 2012 Aug 15;86(4):350-5.
2
Tetany: A diagnostic dilemma.手足搐搦:一种诊断难题。
J Anaesthesiol Clin Pharmacol. 2011 Jul;27(3):393-4. doi: 10.4103/0970-9185.83691.
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Resolution of muscle cramps and fasciculations with treatment of sleep apnea.
J Clin Neuromuscul Dis. 2009 Sep;11(1):66-7. doi: 10.1097/CND.0b013e3181aede82.
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Muscle cramps.肌肉痉挛。
Muscle Nerve. 2005 Oct;32(4):431-42. doi: 10.1002/mus.20341.

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