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阻塞性睡眠呼吸暂停与痴呆:存在关联吗?

Obstructive sleep apnoea and dementia: is there a link?

作者信息

Shastri Abhishek, Bangar Santosh, Holmes John

机构信息

Dorset HealthCare University NHS Foundation Trust, Poole, UK.

Leeds and York Partnership NHS Foundation Trust, Leeds, UK.

出版信息

Int J Geriatr Psychiatry. 2016 Apr;31(4):400-5. doi: 10.1002/gps.4345. Epub 2015 Aug 12.

Abstract

OBJECTIVE

Obstructive sleep apnoea is a common sleep disturbance in people of all ages, while dementia is an increasing entity among the ageing population of the world. Recent studies have established a link between sleep apnoea and cognitive decline. This literature review explores this relationship and examines the mechanisms, neurobiology and treatment modalities.

DESIGN

The study was conducted with the use of narrative literature overview.

RESULTS AND CONCLUSIONS

While there are numerous studies that establish a clear relationship between obstructive sleep apnoea, cognitive decline and dementia, more work is needed in understanding the mechanism and processes involved. A detailed understanding of pathophysiology of sleep and the relationship with cognitive decline will be vital in addressing the possibility of averting a likely reversible cause of dementia or cognitive decline.

摘要

目的

阻塞性睡眠呼吸暂停是各年龄段人群中常见的睡眠障碍,而痴呆症在全球老年人口中日益增多。最近的研究已证实睡眠呼吸暂停与认知衰退之间存在联系。本文献综述探讨了这种关系,并研究了其机制、神经生物学及治疗方式。

设计

采用叙述性文献综述进行本研究。

结果与结论

虽然有大量研究明确了阻塞性睡眠呼吸暂停、认知衰退和痴呆症之间的关系,但在了解其中涉及的机制和过程方面仍需开展更多工作。深入了解睡眠的病理生理学及其与认知衰退的关系,对于解决避免痴呆症或认知衰退可能的可逆病因的可能性至关重要。

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