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基于线性回归方程的阻塞性睡眠呼吸暂停低通气综合征与缺血性脑卒中认知功能的关系

Effects of Obstructive Sleep Apnea-Hypopnea Syndrome and Cognitive Function in Ischemic Stroke Based on Linear Regression Equation.

机构信息

Zhengzhou University People's Hospital, Zhengzhou, Henan 450000, China.

The Third People's Hospital of Zhengzhou (Tumor Hospital Affiliated of Henan University), Zhengzhou, Henan 450000, China.

出版信息

Scanning. 2022 Jun 22;2022:4105169. doi: 10.1155/2022/4105169. eCollection 2022.

Abstract

The objective of this research is to study the effect of obstructive sleep apnea-hypopnea syndrome on cognitive function of stroke. Based on linear regression equation and Montreal Cognitive Assessment Scale, the degree of cognitive impairment in OSAHS patients was evaluated and the influencing factors of OSAHS-induced cognitive impairment and the correlation between the degree of OSAHS and cognitive impairment were explored. The results are as follows: about 68% of OSAHS patients have cognitive dysfunction, and the incidence of cognitive dysfunction is positively correlated with OSAHS; cognitive impairment of OSAHS patients was associated with age, obesity, years of schooling, and intermittent nocturnal hypoxia or hypoventilation; the severity of cognitive dysfunction of OSAHS patients was positively correlated with age and obesity but negatively correlated with education level; Logistic regression analysis results showed that there were three factors that were finally entered into the regression equation, namely, LSaO2, BMI, and AHI, and the Logistic regression equation obtained was as follows: Logist = -0.109 + 0.785 + 1.228 . This study helps clinical workers to detect and intervene the impaired cognitive ability of patients with OSAHS early, so as to reduce the incidence and mortality of related complications and improve the quality of life of patients.

摘要

本研究旨在探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)对脑卒中患者认知功能的影响。基于线性回归方程和蒙特利尔认知评估量表,评估 OSAHS 患者认知障碍的程度,并探讨 OSAHS 引起认知障碍的影响因素及 OSAHS 严重程度与认知障碍的相关性。结果如下:约 68%的 OSAHS 患者存在认知功能障碍,且认知功能障碍的发生率与 OSAHS 呈正相关;OSAHS 患者认知障碍与年龄、肥胖、受教育年限、间歇性夜间低氧或低通气有关;OSAHS 患者认知功能障碍的严重程度与年龄和肥胖呈正相关,与受教育程度呈负相关;Logistic 回归分析结果显示,最终有 3 个因素进入回归方程,即 LSaO2、BMI 和 AHI,得到的 Logistic 回归方程如下:Logist=-0.109+0.785+1.228。本研究有助于临床工作者早期发现和干预 OSAHS 患者受损的认知能力,从而降低相关并发症的发生率和死亡率,提高患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e712/9242756/3ab3395523d9/SCANNING2022-4105169.001.jpg

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