脑梗死患者睡眠呼吸障碍和认知障碍同步变化1例报道
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摘要
<正>PSCI是指在卒中这一临床事件发生后出现的达到认知障碍诊断标准的一系列综合征~([1])。PSCI有很多危险因素,包括年龄、性别、教育水平及高血压、2型糖尿病等,近年来OSAHS作为PSCI的危险因素也受到了关注。但是国内仍缺乏针对脑梗死患者OSAHS和认知障碍同步变化的病例报道,本文就我院收集的1例脑梗死患者认知障碍和OSAHS变化情况进行回顾性分析。
引文
[1]KIM H,YUN C H,THOMAS R J,et al.Obstructive sleep apnea as a risk factor for cerebral white matter change in a middle-aged and older general population[J].Sleep,2013,36(5):709-715.
[2]XU W,CHI L,ROW B W,et al.Increased oxidative stress is associated with chronic intermittent hypoxiamediated brain cortical neuronal cell apoptosis in a mouse model of sleep apnea[J].Neuroscience,2004,126(2):313-323.
[3]HO B L,TSENG P T,LAI C L,et al.Obstructive sleep apnea and cerebral white matter change:a systematic review and meta-analysis[J].J Neurol,2018,265(12):1-11.
[4]中国卒中学会,卒中后认知障碍管理专家委员会.卒中后认知障碍管理专家共识[J].中国卒中杂志,2017,12(6):519-531.
[5]SLONKOVA J,BAR M,NILIUS P,et al.Spontaneous improvement in both obstructive sleep apnea and cognitive impairment after stroke[J/OL].Sleep Med,2017,32:137-142.https://doi.org/10.1016/j.sleep.2016.11.024.
[6]DOTAN Y,GOLIBRODA T,OLIVEN R,et al.Parameters affecting pharyngeal response to genioglossus stimulation in sleep apnoea[J].Eur Respir J,2011,38(2):338-347.
[7]GENTA P R,SCHORR F,ECKERT D J,et al.Upper airway collapsibility is associated with obesity and hyoid position[J].Sleep,2014,37(10):1673-1678.
[8]LI J,YOU S J,XU Y N,et al.Cognitive impairment and sleep disturbances after minor ischemic stroke[J/OL].Sleep Breath,2018:1-8.https://doi.org/10.1007/s11325-018-1709-4.
[9]GRIGG-DAMBERGER M.Why a polysomnogram should become part of the diagnostic evaluation of stroke and transient ischemic attack[J].J Clin Neurophysiol,2006,23(1):21-38.
[10]北京神经内科学会睡眠障碍专业委员会,北京神经内科学会神经精神医学与临床心理专业委员会,中国老年学和老年医学学会睡眠科学分会.卒中相关睡眠障碍评估与管理中国专家共识[J].中华内科杂志,2019,58(1):17-26.
[2]XU W,CHI L,ROW B W,et al.Increased oxidative stress is associated with chronic intermittent hypoxiamediated brain cortical neuronal cell apoptosis in a mouse model of sleep apnea[J].Neuroscience,2004,126(2):313-323.
[3]HO B L,TSENG P T,LAI C L,et al.Obstructive sleep apnea and cerebral white matter change:a systematic review and meta-analysis[J].J Neurol,2018,265(12):1-11.
[4]中国卒中学会,卒中后认知障碍管理专家委员会.卒中后认知障碍管理专家共识[J].中国卒中杂志,2017,12(6):519-531.
[5]SLONKOVA J,BAR M,NILIUS P,et al.Spontaneous improvement in both obstructive sleep apnea and cognitive impairment after stroke[J/OL].Sleep Med,2017,32:137-142.https://doi.org/10.1016/j.sleep.2016.11.024.
[6]DOTAN Y,GOLIBRODA T,OLIVEN R,et al.Parameters affecting pharyngeal response to genioglossus stimulation in sleep apnoea[J].Eur Respir J,2011,38(2):338-347.
[7]GENTA P R,SCHORR F,ECKERT D J,et al.Upper airway collapsibility is associated with obesity and hyoid position[J].Sleep,2014,37(10):1673-1678.
[8]LI J,YOU S J,XU Y N,et al.Cognitive impairment and sleep disturbances after minor ischemic stroke[J/OL].Sleep Breath,2018:1-8.https://doi.org/10.1007/s11325-018-1709-4.
[9]GRIGG-DAMBERGER M.Why a polysomnogram should become part of the diagnostic evaluation of stroke and transient ischemic attack[J].J Clin Neurophysiol,2006,23(1):21-38.
[10]北京神经内科学会睡眠障碍专业委员会,北京神经内科学会神经精神医学与临床心理专业委员会,中国老年学和老年医学学会睡眠科学分会.卒中相关睡眠障碍评估与管理中国专家共识[J].中华内科杂志,2019,58(1):17-26.