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打鼾、嗜睡、肥胖,出现这些常见症状的你需要警惕了!

2020-09-29 00:00:01梅斯医学
核心提示:2020年9月8日,根据华威大学于《睡眠医学评论》(Sleep Medicine Reviews)发表的一项系统性回顾研究,结果显示已被诊断为阻塞性睡眠呼吸暂停(OSA)的患者可能会增加COVID-19的不良后果风险。

  2020NIAN9YUE8RI,GENJUHUAWEIDAXUEYU《SHUIMIANYIXUEPINGLUN》(Sleep Medicine Reviews)FABIAODEYIXIANGXITONGXINGHUIGUYANJIU,JIEGUOXIANSHIYIBEIZHENDUANWEIZUSAIXINGSHUIMIANHUXIZANTING(OSA)DEHUANZHEKENENGHUIZENGJIACOVID-19DEBULIANGHOUGUOFENGXIAN。

  GAIXITONGXINGHUIGUKAOCHALEJIEZHI2020NIAN6YUEYOUGUANZUSAIXINGSHUIMIANHUXIZANTINGHECOVID-19DE18XIANGYANJIU,QIZHONG8XIANGYANJIUZHUYAOYUCOVID-19DESIWANGFENGXIANYOUGUAN,10XIANGYANJIUYUSHUIMIANHUXIZANTINGDEZHENDUAN、ZHILIAOHEGUANLIYOUGUAN。SUIRANDANGSHIDUICOVID-19ZHONGZUSAIXINGSHUIMIANHUXIZANTINGDEYANJIUHENSHAO,DANYOUZHENGJUBIAOMING,XUDUODAOZHONGZHENGJIANHUSHIJIUZHENDEHUANZHEDOUYOUZUSAIXINGSHUIMIANHUXIZANTING。ZHEIXIANGYANJIUDEJIEGUOBIAOMING,XUDUOYUOSAXIANGGUANDEFENGXIANYINSUHEGONGBINGYINSU,BAOKUOFEIPANG、GAOXUEYAHETANGNIAOBING,DOUYUCOVID-19DEBULIANGJIEGUOXIANGGUAN。

  YANJIURENYUANRENWEI,ZAIYINGGUO,GAODA85%DEZUSAIXINGSHUIMIANHUXIZANTINGJIBINGWEIBEIFAXIAN,ZHEIBIAOMINGYINGGUOMUQIANBEIZHENDUANCHUHUANYOUGAIBINGDE150WANRENKENENGZHISHIBINGSHANYIJIAO。SUIZHEFEIPANGLVHEQITAXIANGGUANFENGXIANYINSUDEZENGJIA,YANJIURENYUANHAIRENWEI,ZUSAIXINGSHUIMIANHUXIZANTINGZONGHEZHENGDEFABINGLVYEZAIZENGJIA。

  ZUSAIXINGSHUIMIANHUXIZANTINGZONGHEZHENG(OSA)SHIYIZHONGCHANGJIANDESHUIMIANZHANGAIXINGJIBING,OSADETEDIANSHIZAISHUIMIANZHONGFANFUFAZUOBUFENHEWANQUANXINGQIDAOZUSAI,BINGYINCICHUXIANFANFUDEHUXIZANTINGHEHUXIBUZU。ZAIWOGUOHUANBINGLVYUEWEI3%~16%,NANXINGJIAONVXINGDUO,NANNVXINGBILIYUEWEI4.5∶1。ERZAIOUMEIDENGGUOJIAHUANBINGLVDA4%~56%。

  RUJIN,OSAYICHENGWEICHENGRENFABINGHESIWANGDEYIGERIYIGONGRENDEYUANYIN,BINGYUGAOXUEYA、ZHONGFENG、XINLISHUAIJIE(HF)、FANGZHANHEGUANXINBINGDEFENGXIANZENGJIAYOUGUAN。YIXIANGDUIYINHFJIAZHONGERRUYUANDESHEXUEFENSHUJIANGDIDEHFHUANZHEDEQIANZHANXINGGUANCHAXINGDUILIEYANJIUXIANSHI,61%DEHUANZHEYOUOSA,ERRUGUOBUZHILIAO,SIWANGFENGXIANHUIZENGJIAYIBEI。MEIGUOXINZANGBINGXUEYUAN/MEIGUOXINZANGXIEHUI2017NIANZHONGDIANGENGXINJIANYI,SUOYOUNIUYUEXINZANGXIEHUIIIZHIIVJIHFHUANZHEDOUYINGZHENGSHIJINXINGSHUIMIANHUXIZANTINGSHAICHA。

  LINCHUANGSHANGBEIZHENDUANWEIOSADEHUANZHEDUOSHUSHIYINWEIYOUTISHIZHENDUANDEZHENGZHUANGERBEIZHUANZHENJINXINGZHENDUANXINGSHUIMIANJIANCHA,ZUICHANGJIANDESHIZHONGDUHANZHENG、RIJIANSHISHUIZHENG。SHUIMIANHUXIZANTINGDELIUXINGBINGXUEYANJIUHUIFAXIAN,SUOYOUOSAHUANZHEZHONGZHIYOUYIBUFENRENHUIYOUZHEIXIEZHENGZHUANG,RENGYOUYIXIEOSAHUANZHEYINZANGZAIRENQUNZHONGWEIBEIFAXIAN。NEIDAODINAXIERENRONGYIHUANOSANI?

  GENJUWOGUO2018NIANFABUDE《CHENGRENZUSAIXINGSHUIMIANHUXIZANTINGJICENGZHENLIAOZHINAN》,YUOSAXIANGGUANDEWEIXIANYINSUBAOKUO:

  FEIPANG:BMICHAOGUOBIAOZHUNBMIDE20%HUOYISHANG,JIBMI≥28 kg/m2。

  NIANLING:CHENGNIANHOUSUINIANLINGZENGZHANGHUANBINGLVZENGJIA;NVXINGJUEJINGQIHOUJIAOJUEJINGQIANHUANBINGZHEZENGDUO。

  XINGBIE:NVXINGJUEJINGQIANFABINGLVXIANZHUDIYUNANXING,JUEJINGHOUYUNANXINGWUXIANZHUCHAYI。

  SHANGQIDAOJIEPOUYICHANG:BAOKUOBIQIANGZUSAI、IIDUYISHANGBIANTAOTIFEIDA、RUANESONGCHI、XUANYONGCHUIGUOZHANGHUOGUOCU、YANQIANGXIAZHAI、YANBUZHONGLIU、YANQIANGNIANMOFEIHOU、SHETIFEIDA、SHEGENHOUZHUI、XIAHEHOUSUOJIXIAOHEJIXING、JINGCUDUANDENG。

  YOUOSAJIAZUSHI。

  ZHANGQIDALIANGYINJIUHE/HUOFUYONGZHENJING、CUIMIANHUOJIROUSONGCHILEIYAOWU。

  ZHANGQIXIYANKEJIAZHONGOSA。

  QITAXIANGGUANJIBING:BAOKUOJIAZHUANGXIANGONGNENGDIXIA、ZHIDUANFEIDAZHENG、XINGONGNENGBUQUAN、NAOZUZHONG、WEISHIGUANFANLIUJISHENJINGJIROUJIBINGDENG。

  CHULEWEIXIANYINSUWAI,ZHONGDUODEZHENGZHUANGHETIZHENGDOUKEYITISHIOSA ,BAOKUOBAITIANSHISHUI、XINGHOUJINGLIWEIHUIFU、PILAOHUOSHIMIAN;YEJIANYINBIEQI、CHUANXIHUOZHIXIERXING;XIGUANXINGDAHAN、KEGUANCHADAODEHUXIZHONGDUANDENGZHENGZHUANG。TONGSHI,JUYOUYIXIAQINGKUANGDEHUANZHESHIOSAGAOWEIRENQUN:FEIPANG,NANZHIXINGGAOXUEYA,CHONGXUEXINGXINLISHUAIJIE,XINFANGZHANDONG,YEJIANXINLVSHICHANG,NAOZUZHONG,FEIDONGMAIGAOYA,ZHIYESIJI,JIANZHONGRENQUN。

  YOUYUOSAHUIYINQISHUIMIANWENLUAN,DAOZHIJIYILIXIAJIANG,YANZHONGZHECHUXIANRENZHIGONGNENGXIAJIANG,XINGWEIYICHANG。RUGUONISHENBIANYOUYISHANGZHENGZHUANGDERENQUN,XUYAOGAODUZHONGSHI,JISHIQUYIYUANJINXINGZHUANYEPINGGUJIZHENZHI。

  DUIYUOSADECHUBUZHENDUANFANGFA,ZHUYAOGENJUBINGSHI、TIJIAN、XUEYANGBAOHEDU(SpO2)JIANCEDENG,BINGJIEHEEpworthSHISHUILIANGBIAO(ESS)、STOP-BangWENJUANJINXINGPINGGU。

  CHUBUPINGGUCAIYONGDEPINGFENBIAOJINGUANJIANBIAN,DANZUOYONGYOUXIAN,MUQIANZHENDUANOSADEJINBIAOZHUNFANGFASHIDUODAOSHUIMIANJIANCE(PSG)。YIBANXUYAOZHENGYE≥7 hDESHUIMIANJIANCE。YONGYUDINGYIOSAYANZHONGCHENGDUDEZHUYAOJIEGUOSHIHUXIZANTING-HUXIBUZUZHISHU(AHI),GAIZHISHUDAIBIAOLESHUIMIANZHONGHUXIDECISHU。MEIXIAOSHISHUIMIANZHONGCHUXIANDEHUXITINGZHI(HUXIZANTING)HEQILIUJIANSHAO(HUXIBUZU)CHIXUSHIJIANCHAOGUO10MIAO,DAOZHIDUANZANDESUXING(HUANXING)HUOYANGHEJIANSHAO。SUIRANYANZHONGCHENGDUDEFENJIEXIANBUTONG,DANQINGDUSHUIMIANHUXIZANTINGTONGCHANGDINGYIWEIAHI 5-15CI,ZHONGDUWEIAHI>15-30CI,ZHONGDUWEIAHI>30CI/XIAOSHISHUIMIAN。

  XUYAOTIXINGDESHI,BINGBUSHISUOYOUCHUXIANDAHAN、SHISHUIDEDOUSHIOSAHUANZHE,YOUYIXIEJIBINGYEHUICHUXIANLEISIZHENGZHUANG:DANCHUNHANZHENG、FEIPANGDITONGQIZONGHEZHENG、NEIKEJIBINGHUOSHENJINGJIROUJIBINGXIANGGUANDESHUIMIANDITONGQI、ZHONGSHUXINGSHUIMIANHUXIZANTING、YINQIBAITIANSHISHUIDEJIBING(RUFAZUOXINGSHUIBING、BUNINGTUIZONGHEZHENGHEZHOUQIXINGTUIDONG)、YINQIYEJIANHUXIKUNNANDEJIBING(RUYEJIANJINGKONGFAZUO、WEISHIGUANFANLIU、ZHIQIGUANXIAOCHUAN、CHONGXUEXINGXINLISHUAIJIEHEYEJIANXINJIAOTONGFAZUODENG)。SUOYI,ZHUANYEDEPINGGUXUYAOJIAOJIZHUANYEDEYISHENG,BUKEDAYI,YEBUBIGUOYUJINGHUANG。

  ZHILIAOOSADEMUBIAOSHIJIECHUSHUIMIANHUXIZANTING,JIUZHENGSHUIMIANQIDIYANG,GAISHANSHUIMIANJIEGOU,TIGAOSHUIMIANZHILIANGHESHENGMINGZHILIANG,JIANGDIOSADEXIANGGUANBINGFAZHENGHEBINGSILV。

  DUIYUQINGDUOSADEZHILIAOSHOUXIANXUYAOCONGWEIXIANYINSUKONGZHI(KONGZHITIZHONG、JIEYANJIUDENG)、BINGYINZHILIAO(JIUZHENGXIANGGUANGAOFENGXIANJICHUJIBING)、TIWEIZHILIAO(CEWOWEISHUIMIAN)DENGJINXINGKONGZHI。

  WUCHUANGQIDAOZHENGYATONGQIZHILIAO(CPAP)SHIZHONGZHONGDUCHENGRENOSAHUANZHEDESHOUXUANHECHUSHIZHILIAOFANGFA。YOUDUOXIANGYANJIUXIANSHI,CPAPBUJINNENGGAISHANOSAHUANZHEDESHENGHUOZHILIANGHESHUIMIANZHISHU,HAINENGJIANGDIBINGFAZHENGHESIWANGLVDEFENGXIAN。ZAIZHONG、ZHONGOSAHUANZHEYINGYONGHUXIJIZHILIAOHOUDESUIFANGFAXIAN,GEZHONGLINCHUANGZHENGZHUANGDOUYOUMINGXIANGAISHAN,TEBIESHIHANSHENGJIBAITIANSHISHUIXIAOSHI,SHUIMIANZHILIANGHEGONGZUOXIAOLVDADATIGAO,YUANLAINANYIYONGYAOWUKONGZHIDEGAOXUEYA、TANGNIAOBINGDEDAOLEGAISHAN。

  CIWAI,HAIYOUKOUQIANGJIAOZHIQI、WAIKESHOUSHUDENGZHILIAOFANGFA。MUQIANSHANGWULIAOXIAOQUEQIEDEYAOWUKEYISHIYONG。

  OSA作为一种常见病目前并未得到大众足够的重视,很多人认为只是单纯的疾病,但它却同时是很多常见疾病的诱因和危险因素之一,不可轻视。愿诸位自在呼吸,健康生活。

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