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阻塞性睡眠呼吸暂停低通气综合征(OSAS)中的睡眠纺锤波特征

Sleep Spindle Characteristics in Obstructive Sleep Apnea Syndrome (OSAS).

作者信息

Mohammadi Hiwa, Aarabi Ardalan, Rezaei Mohammad, Khazaie Habibolah, Brand Serge

机构信息

Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Department of Neurology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.

出版信息

Front Neurol. 2021 Feb 25;12:598632. doi: 10.3389/fneur.2021.598632. eCollection 2021.

Abstract

We compared the density and duration of sleep spindles topographically in stage 2 and 3 of non-rapid eye movement sleep (N2 and N3) among adults diagnosed with Obstructive Sleep Apnea Syndrome (OSAS) and healthy controls. Thirty-one individuals with OSAS (mean age: 48.50 years) and 23 healthy controls took part in the study. All participants underwent a whole night polysomnography. Additionally, those with OSAS were divided into mild, moderate and severe cases of OSAS. For N2, sleep spindle density did not significantly differ between participants with and without OSAS, or among those with mild, moderate and severe OSAS. For N3, analyses revealed significantly higher spindle densities in healthy controls and individuals with mild OSAS than in those with moderate or severe OSAS. Last, in N2 a higher AHI was associated with a shorter sleep spindle duration. OSAS is associated with a significantly lower spindle density in N3 and a shorter spindle duration in N2. Our results also revealed that, in contrast to moderate and severe OSAS, the sleep spindle characteristics of individuals with mild OSAS were very similar to those of healthy controls.

摘要

我们比较了被诊断为阻塞性睡眠呼吸暂停综合征(OSAS)的成年人与健康对照组在非快速眼动睡眠(N2和N3)第2阶段和第3阶段睡眠纺锤波的密度和持续时间。31名OSAS患者(平均年龄:48.50岁)和23名健康对照者参与了这项研究。所有参与者都进行了整夜多导睡眠监测。此外,OSAS患者被分为轻度、中度和重度OSAS病例。对于N2,有和没有OSAS的参与者之间,以及轻度、中度和重度OSAS患者之间,睡眠纺锤波密度没有显著差异。对于N3,分析显示健康对照组和轻度OSAS患者的纺锤波密度显著高于中度或重度OSAS患者。最后,在N2中,较高的呼吸暂停低通气指数(AHI)与较短的睡眠纺锤波持续时间相关。OSAS与N3中显著较低的纺锤波密度以及N2中较短的纺锤波持续时间相关。我们的结果还表明,与中度和重度OSAS相比,轻度OSAS患者的睡眠纺锤波特征与健康对照组非常相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e782/7947924/236039faec80/fneur-12-598632-g0001.jpg

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