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阻塞性睡眠呼吸暂停的多系统受累

[Multisystemic involvement in obstructive sleep apnea].

作者信息

Labarca Gonzalo, Cruz N Rodrigo, Descalzi Fernando

出版信息

Rev Med Chil. 2014 Jun;142(6):748-57. doi: 10.4067/S0034-98872014000600009.

Abstract

Obstructive Sleep Apnea (OSA) is characterized by repetitive upper airway collapse with apnea/hypopnea and recurrent hypoxia during sleep, which results in fragmented sleep and intermittent drops in arterial blood oxygen saturation (hypoxemia). Several dysfunctions of neurocognitive, endocrine, cardiovascular, and metabolic systems are recognized in patients with OSA. The most commonly reported associations are with obesity, increased cardiovascular risk, dyslipidemia, diabetes mellitus 2 and liver damage. However, there is a proven relationship between OSA and other diseases, such as polycystic ovary syndrome, gastroesophageal reflux, and chronic kidney disease. The aim of this review is to analyze clinical and experimental evidence linking OSA with other diseases.

摘要

阻塞性睡眠呼吸暂停(OSA)的特征是睡眠期间上气道反复塌陷并伴有呼吸暂停/低通气以及反复出现的缺氧,这会导致睡眠碎片化和动脉血氧饱和度间歇性下降(低氧血症)。阻塞性睡眠呼吸暂停患者存在神经认知、内分泌、心血管和代谢系统的多种功能障碍。最常报道的关联是与肥胖、心血管风险增加、血脂异常、2型糖尿病和肝损伤有关。然而,阻塞性睡眠呼吸暂停与其他疾病之间也存在已被证实的关系,如多囊卵巢综合征、胃食管反流和慢性肾脏病。本综述的目的是分析将阻塞性睡眠呼吸暂停与其他疾病联系起来的临床和实验证据。

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