OSA 与中风关系的最新进展：叙述性综述。
Up-to-date advance in the relationship between OSA and stroke: a narrative review.
机构信息
Department of Respiratory and Critical Care Medicine, The Affiliated Huaian No.1 People's Hospital of Nanjing Medical University, 6 Beijing Road West, Huaian, 223300, Jiangsu, China.
出版信息
Sleep Breath. 2024 Mar;28(1):53-60. doi: 10.1007/s11325-023-02904-2. Epub 2023 Aug 26.
PURPOSE
Obstructive sleep apnea (OSA) and stroke affect each other. In this review, we summarized the effect of OSA on the onset and recurrence of stroke, the prognosis, and the treatment of poststroke patients with OSA.
METHODS
Pubmed/MEDLINE were searched through May 2023 to explore the relationship between OSA and stroke. The relevant papers included OSA and stroke, OSA and recurrent stroke, and the prognosis and treatment of poststroke patients with OSA.
RESULTS
The results showed that OSA can promote the onset and recurrence of stroke and that OSA may adversely affect the prognosis of poststroke patients. The application of continuous positive airway pressure (CPAP) and other treatments may benefit poststroke patients with OSA, though the long term effects of treatment are not well documented.
CONCLUSION
Both the onset and recurrence of stroke closely correlated with OSA, but the specific mechanisms remain unclear. Further studies should be carried out to explore effective treatments in patients with stroke and OSA.
目的
阻塞性睡眠呼吸暂停（OSA）和中风相互影响。在这篇综述中，我们总结了 OSA 对中风发病和复发、预后以及合并 OSA 的中风后患者治疗的影响。
方法
通过 2023 年 5 月检索 Pubmed/MEDLINE，以探讨 OSA 与中风之间的关系。相关文献包括 OSA 与中风、OSA 与复发性中风以及合并 OSA 的中风后患者的预后和治疗。
结果
结果表明，OSA 可促进中风的发病和复发，并且 OSA 可能对中风后患者的预后产生不利影响。持续气道正压通气（CPAP）等治疗方法的应用可能使合并 OSA 的中风后患者受益，但治疗的长期效果尚未得到充分证实。
结论
中风的发病和复发都与 OSA 密切相关，但具体机制尚不清楚。应进一步开展研究以探索针对合并 OSA 的中风患者的有效治疗方法。
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