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阻塞性睡眠呼吸暂停患者前庭诱发肌源性电位的表现

[The manisfestation of vestibular evoked myogenic potentials in patients with obstructive sleep apnea].

作者信息

Song Lulu, Xu Xinda, Zhang Ming, Luo Huiping

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Oct;35(10):957-960. doi: 10.13201/j.issn.2096-7993.2021.10.021.

Abstract

Obstructive sleep apnea(OSA) is a syndrome characterized by repeated apneas and hypopneas, periodic intermittent hypoxemia accompanied by repeated drops in intrathoracic pressure(due to blockage of the airway during inhalation) and fragmentation of sleep. It can cause intermittent hypoxia and hypercapnia, and has adverse effects on many systems of human body, including the cardiovascular system, endocrine system, and the neuropsychiatric system, etc. The impact of OSA on vestibular function has also attracted the attention of researchers, and vestibular evoked myogenic potentials(VEMPs) are used to evaluate function of the otolithic apparatus and its conduction pathways in patients with OSA. The changes of VEMPs in OSA patients and the value of VEMPs in clinical work were summarized in this review.

摘要

阻塞性睡眠呼吸暂停(OSA)是一种以反复出现呼吸暂停和低通气、周期性间歇性低氧血症为特征的综合征,伴有反复的胸腔内压下降(由于吸气时气道阻塞)和睡眠碎片化。它可导致间歇性缺氧和高碳酸血症,对人体的许多系统产生不利影响,包括心血管系统、内分泌系统和神经精神系统等。OSA对前庭功能的影响也引起了研究人员的关注,前庭诱发肌源性电位(VEMPs)被用于评估OSA患者的耳石器官及其传导通路的功能。本文综述了OSA患者VEMPs的变化及其在临床工作中的价值。

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引用本文的文献

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Uneven Effects of Sleep Apnea on Semicircular Canals and Otolithic Organs.
Front Neurol. 2022 Feb 16;13:819721. doi: 10.3389/fneur.2022.819721. eCollection 2022.

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VEMP: An Objective Test for Diagnosing the Cases of BPPV.
Indian J Otolaryngol Head Neck Surg. 2020 Jun;72(2):251-256. doi: 10.1007/s12070-020-01802-3. Epub 2020 Feb 27.
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Nightly Hypoxia Does Not Seem to Lead to Otolith Dysfunction in Patients With Obstructive Sleep Apnea.
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The relationship between the findings of vestibular evoked myogenic potentials and severity of obstructive sleep apnea syndrome.
Eur Arch Otorhinolaryngol. 2020 Jan;277(1):37-46. doi: 10.1007/s00405-019-05654-8. Epub 2019 Sep 21.
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