睡眠呼吸暂停和惊恐发作

来源 :国外医学.精神病学分册 | 被引量 : 0次 | 上传用户:soochow_deer
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阻塞性睡眠呼吸暂停可引起抑郁和焦虑症状。夜间惊恐发作大约占惊恐病人的69%。本文作者研究了301例阻塞性睡眠呼吸暂停的病人。根据病人每小时睡眠中有10次以上的阻塞性呼吸暂停和呼吸浅慢而作出阻塞性睡眠呼吸暂停的诊断,用Rechtschaffen-Kales方法对睡眠进行评分。呼吸暂停的定义是总气流量缺乏持续10秒以上;呼吸浅慢的标准是气流量持续减少至少10秒并引起氧浓度减少4%和/或从睡眠中转醒。如果气流量缺乏或减少,尽管有连续的膈肌运动也考虑为阻塞。作者发现18例承认夜间在惊恐中转醒,其中16例随访了6个月至2年,就惊恐症状 Obstructive sleep apnea can cause depression and anxiety symptoms. Panic attacks at night account for about 69% of panic patients. The authors studied 301 patients with obstructive sleep apnea. The diagnosis of obstructive sleep apnea was made on the basis of more than 10 episodes of obstructive apnea and shortness of breath during the patient’s hourly sleep and the sleep was scored on the Rechtschaffen-Kales method. Apnea is defined as a shortfall in total air flow lasting more than 10 seconds; the criterion for slow breathing is a continuous decrease in air flow for at least 10 seconds and a 4% reduction in oxygen concentration and / or arousal from sleep. If there is a lack or decrease of air flow, occlusion is considered as a continuous diaphragmatic motion. The authors found that 18 patients admitted that they were awakened during the night, of whom 16 were followed up for 6 months to 2 years.
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