睡眠醫(yī)學研究新進展擷萃一期

嗓音和妊娠期OSA可能帶來不利影響，如妊娠期血壓升高、血糖異常、心OA孕婦的院內死亡率OAOA可增CU的機率。LouisJM，etal.201410.OSA20151.Cardiovascularriskinpatients1.Cardiovascularriskinpatientswithsleepapneawithorwithoutcontinuouspositiveairwaytherapy:follow-‐upof4.5millionDanishadults.LambertsM,NielsenOW,LipGYetal.JInternMed.2014Dec;276(6):659-‐66.Personswith1.71,95%CI1.57--1.50,95%CI1.35--PersonswithSAyoungerthan50years2.12,95%CI1.64--2.34,95%CI1.77--2.OSA病人與健康對照組相比嗓音質量較差，通過CPAP研究包括27名AHI≥15次/小時的OSA病人和28常對照。FOFundamental2.OSA病人與健康對照組相比嗓音質量較差，通過CPAP研究包括27名AHI≥15次/小時的OSA病人和28常對照。FOFundamentalfrequencyVHIVoicehandicapThee?ectofobstructivesleepapneasyndromeandcontinuouspositiveairwaypressureonvoiceAtanD,OzcanKM,Ikincio?ullar?A,etal.SleepBreath.2014Dec Pre- 1-monthPost- 3.未經治療的重度OSAMortalityrate(per1000person--5503.未經治療的重度OSAMortalityrate(per1000person--550Adjustedmortalitycomparedtosnorers(hazardAdequatecontinuouspositiveairwaypressuretherapyreducesmortalityinChinesewithobstructivesleepapnea.YuanX,FangJ,WangL,etal.SleepBreath.2014.DecUntreatedsevere[95%CI,1.93toOSAtreatedwith[95%CI,0.36--Simple[95%CI,2.93toUntreatedsevere[95%CI,10.86to4.輕度OSA嗜睡，降低打鼾和AHIVASofP<SnoringP<4.輕度OSA嗜睡，降低打鼾和AHIVASofP<SnoringP<7.4±1.6P<吸。ESS:Epworth嗜睡評分，VAS:直觀類比標度.NovelPorousOralPatchesforPatientswithMildObstructiveSleepApneaandMouthBreathing:APilotStudy.HuangTW,YoungTH.OtolaryngolHeadNeckSurg.2014Dec1.Retro-lingual P<Mediansnoring 146.7per 40.0per P<Median P<使用補片 使用補 P<5.OSAChallengesinrecruitmenttoarandomizedcontrolled5.OSAChallengesinrecruitmenttoarandomizedcontrolledstudyofcardiovasculardiseaseinsleepapnea:ananalysisofalternativestrategies.GleasonK,ShinD,etal.Sleep.2014Dec面試招募郵件招募（面試（面試$2,139/$647/6.使用內置傳感器（血氧、呼吸努力度和加速度傳感器）的智能手機診斷OSA,與標準多導睡眠監(jiān)測儀相比具有良好的敏敏感度特異度6.使用內置傳感器（血氧、呼吸努力度和加速度傳感器）的智能手機診斷OSA,與標準多導睡眠監(jiān)測儀相比具有良好的敏敏感度特異度Classifyingobstructivesleepapneausingal.JBiomedInform.2014Dec;52:251-Al‐MardiniM,AloulF,SagahyroonA,7.與鼻面罩無創(chuàng)通氣治療相比，COPD急性加重病人更傾向使用口咬器通氣，且兩者在病人血氣分析和NIV治療時間上7.與鼻面罩無創(chuàng)通氣治療相比，COPD急性加重病人更傾向使用口咬器通氣，且兩者在病人血氣分析和NIV治療時間上病人更傾向使用口咬器通氣Open-mouthpieceventilationversusnasalmaskventilationinsubjectswithCOPDexacerbationmildtomoderateacidosis:Arandomizedtrial.NicoliniA,SantoM,Ferrari-‐BravoMetal.Respir2014Dec;59(12):1825-8.使用PSG遠程監(jiān)控系統(tǒng)對急性冠脈綜合征不伴心衰的病人進行篩查，發(fā)現(xiàn)此類病人中有很高的睡眠呼吸紊亂發(fā)病率Very8.使用PSG遠程監(jiān)控系統(tǒng)對急性冠脈綜合征不伴心衰的病人進行篩查，發(fā)現(xiàn)此類病人中有很高的睡眠呼吸紊亂發(fā)病率Veryearlyscreeningforsleep-disorderedbreathinginacutecoronarysyndromeinpatientsacuteheartfailure.VandenBroeckeS,JobardO,etal.SleepMed.2014Dec;15(12):1539-PSG在病人入住冠脈監(jiān)護病房72小時內進行良好PSG9.薈萃分析顯示鼻氣道支架類裝置可顯著改善OSA病人的血159.薈萃分析顯示鼻氣道支架類裝置可顯著改善OSA病人的血15Nasopharyngealairwaystentingdevicesforobstructivesleepapnoea:Asystematicreviewandmeta-analysis.KumarAR,GuilleminaultC,CertalV,LiD,CapassoR,CamachoM.JLaryngolOtol.2014Dec 基 使用鼻氣道支平均AI（次/小時） 10.組相比使用CPAPMedianannual10.組相比使用CPAPMedianannualMMSEdeclineovera3-yrfollow--(--(-3.3;-MMSE:MiniMentalStateTreatmentofsleepapnoeasyndrom