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[低氧负荷在评估阻塞性睡眠呼吸暂停患者器官系统损害中的价值]

[Value of hypoxic burden in evaluating the impairments of organ systems in obstructive sleep apnea].

作者信息

Wang X, Zhao J Y, Yuan H B

机构信息

Department of Respiratory Medicine and Sleep Center, First Hospital of Jilin University, Changchun 130021, China.

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 2022 Jun 12;45(6):609-613. doi: 10.3760/cma.j.cn112147-20220315-00206.

Abstract

Obstructive sleep apnea (OSA) is a common sleep-disordered-breathing with decreased or even suspended ventilation due to upper airway obstruction, which is characterized by intermittent hypoxia and sleep fragmentation. OSA can damage a variety of organ systems, especially the cardiovascular system, seriously affecting the quality of life of patients. Therefore, more attention is paid to the precise assessment of the impairments of the organ systems caused by OSA and the evaluation of indicators, in order to carry out preventive measures as soon as possible. However, due to the limitations of traditional indicators such as apnea-hypopnea index (AHI) in assessing the severity of disease, it is necessary to explore other alternative indicators to obtain multi-dimensional characteristics of OSA. A promising parameter, hypoxic burden (HB) can better quantify the severity of OSA and capture the disease load of OSA. This review mainly focused on the basic concept, main features, calculating method of HB and its clinical significance in predicting the adverse consequences of OSA, aiming at a better management of patients with OSA.

摘要

阻塞性睡眠呼吸暂停(OSA)是一种常见的睡眠呼吸障碍,由于上气道阻塞导致通气减少甚至暂停,其特征为间歇性缺氧和睡眠片段化。OSA可损害多种器官系统,尤其是心血管系统,严重影响患者的生活质量。因此,人们更加关注对OSA所致器官系统损害的精确评估以及指标的评价,以便尽早采取预防措施。然而,由于传统指标如呼吸暂停低通气指数(AHI)在评估疾病严重程度方面存在局限性,有必要探索其他替代指标以获取OSA的多维度特征。一个有前景的参数——缺氧负荷(HB)能够更好地量化OSA的严重程度并捕捉OSA的疾病负荷。本综述主要聚焦于HB的基本概念、主要特征、计算方法及其在预测OSA不良后果方面的临床意义,旨在更好地管理OSA患者。

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