夜间间歇性缺氧相关评估指标的研究进展
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南京医科大学附属无锡人民医院全科医学科睡眠中心

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国家自然科学基金项目(面上项目,重点项目,重大项目)


Progress in the assessment of indicators related to nocturnal intermittent hypoxia
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1.Department of General Practice and Sleep Center, The Affiliated Wuxi People'2.'3.s Hospital of Nanjing Medical University

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    摘要:

    阻塞性睡眠呼吸暂停(obstructive sleep apnea,OSA)是一种常见的疾病,其患病率正在逐年上升,由其引发的夜间间歇性缺氧与多种不良健康结局有密切关系,因此,探索简单、可靠的夜间间歇性缺氧评估指标,一直是近年来研究的热点。本文归纳总结了目前夜间间歇性缺氧相关指标的不同评估方法,包括表征间歇性缺氧的频率(氧饱和度下降指数)、持续时间(氧饱和度低于90%时间、饱和度损伤时间)、低氧幅度(最低血氧饱和度、血氧饱和度下降幅度等)单一评估指标及综合性评估指标(如低氧负荷、低氧负荷指数、低氧负担、睡眠呼吸障碍指数等),并予以综述。

    Abstract:

    Obstructive sleep apnea (OSA) is a common disease, the prevalence of which is increasing year by year, and the nocturnal intermittent hypoxia triggered by it is closely related to a variety of adverse health outcomes, therefore, exploring simple and reliable indicators for the assessment of nocturnal intermittent hypoxia has been a hotspot in recent years. In this paper, we summarise the different current methods of assessing indicators related to nocturnal intermittent hypoxia, including single assessment indexes characterising the frequency (oxygen desaturation index), duration (Time below 90% saturation, Saturation Impairment Time, etc.)、and magnitude (minimum of SpO2 values、magnitude of decrease in oxygen saturation, etc.) of intermittent hypoxaemia, and comprehensive assessment indexes (hypoxic burden, hypoxic burden index, hypoxic load, sleep breathing impairment index, etc.) and are reviewed.

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  • 收稿日期:2024-07-08
  • 最后修改日期:2024-08-07
  • 录用日期:2024-12-16
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