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阻塞性睡眠呼吸暂停对神经认知功能的影响及持续气道正压通气的影响

Impact of Obstructive Sleep Apnea on Neurocognitive Function and Impact of Continuous Positive Air Pressure.

作者信息

Davies Charles R, Harrington John J

机构信息

Carle Neuroscience Institute, Carle Foundation Hospital, College of Medicine, University of Illinois at Urbana-Champaign, 602 West University Avenue, Urbana, IL 61801, USA.

Division of Pulmonary, Critical Care, Sleep and Allergy, Department of Medicine, 985990 Nebraska Medical Center, Omaha, NE 68159-5990, USA.

出版信息

Sleep Med Clin. 2016 Sep;11(3):287-98. doi: 10.1016/j.jsmc.2016.04.006. Epub 2016 Jun 28.

Abstract

There is evidence that obstructive sleep apnea (OSA) can negatively impact attention, memory, learning, executive function, and overall intellectual function in adults and children. Imaging techniques, including MRI, MR diffusion tensor imaging, MR spectroscopy, and fMRI, have provided additional insight into the anatomic and functional underpinnings of OSA-related cognitive impairment. Both animal and human studies have looked to elucidate the separate effects of oxygen desaturation and sleep fragmentation on independent aspects of cognition. Data from animal models point to neuro-inflammation and oxidative stress as driving factors of cognitive impairment.

摘要

有证据表明,阻塞性睡眠呼吸暂停(OSA)会对成人和儿童的注意力、记忆力、学习能力、执行功能及整体智力功能产生负面影响。包括磁共振成像(MRI)、磁共振扩散张量成像、磁共振波谱成像和功能磁共振成像(fMRI)在内的成像技术,为深入了解OSA相关认知障碍的解剖学和功能基础提供了更多信息。动物研究和人体研究都试图阐明氧饱和度降低和睡眠片段化对认知独立方面的单独影响。动物模型的数据表明,神经炎症和氧化应激是认知障碍的驱动因素。

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