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Hipopne veya apne predominansı olan obstrüktif uyku apne sendromlu hastaların uyku yapısındaki farklılıklar ve eşlik eden morbiditeler
2017
Journal:  
Kocaeli Medical Journal
Author:  
Abstract:

GİRİŞ ve AMAÇ: Biz bu çalışmada apne veya hipopne belirgin obstrüktif uyku apne sendrom (OSAS)’lu hastalarda, uyku yapısı başta olmak üzere, vücut kütle indeksi (BMI), epworth uykululuk skalası (ESS), eşlik eden hastalıklar ve üst hava yolu morfolojisindeki farklılıkları değerlendirmeyi amaçladık. YÖNTEM ve GEREÇLER: Hipopne oranı %50' den fazla olan hastalar hipopne grubuna alınırken apne oranı %50' den fazla olan hastalar apne grubuna alındı. Hastaların BMI, ESS ve polisomnografi (PSG) parametreleri kaydedildi. Hastalar anamnezlerinde sigara kullanım alışkanlığı, kronik obstrüktif akciğer hastalığı (KOAH), hipertansiyon (HT), diyabetes mellitus (DM), koroner arter hastalığı (KAH)’ nın varlığı açısından tarandı ve üst solunum yolu patolojisi açısından gözden geçirildi. BULGULAR: Hipertansiyon oranı hipopne grubunda, apne grubundan anlamlı düzeyde yüksek bulundu (p=0,021; p<0,05). Rapid Eye Movement (REM) oranı hipopne grubunda, apne grubundan anlamlı düzeyde yüksek bulundu (p=0,016; p<0,05). Non-Rapid Eye Movement (NREM) apne-hipopne indexi (AHİ) apne grubunda, hipopne grubuna göre anlamlı düzeyde yüksek bulundu (p=0,007; p<0,01). Supin AHİ ölçümleri apne grubunda anlamlı düzeyde yüksek bulundu (p=0,047; p<0,05). Uvula değerlendirmesinde apne grubunda elonge uvula oranı anlamlı düzeyde yüksek bulundu (p=0,043; p<0,05). TARTIŞMA ve SONUÇ: Apne ağırlıklı obstrüktif uyku apne sendromu, hipopne belirgin OSAS’ a göre daha ağırdır. Hipertansiyon obstrüktif uyku apne sendromunda, hipopne ağrırlıklı hasta grubunda daha yaygındır.

Keywords:

Differences in the sleep structure and accompanying morbidities of patients with hypopne or apnea predominant obstructive sleep
2017
Author:  
Abstract:

Introduction and Purpose: In this study, we aimed at evaluating differences in the body mass index (BMI), epworth sleepiness scale (ESS), accompanying diseases and upper air path morphology, including sleep structure in patients with apnea or hypopnea manifest obstructive sleep apnea syndrome (OSAS). Method and Requirements: Patients with a hypopne rate above 50% were taken to the hypopne group while patients with a hypopne rate above 50% were taken to the hypopne group. The patient’s BMI, ESS and polysomnography (PSG) parameters were recorded. The patient’s anamnesis were scaned with regard to the presence of smoking habit, chronic obstructive lungs disease (KOAH), hypertension (HT), diabetes mellitus (DM), coronary artery disease (KAH) and reviewed with regard to the pathology of the upper respiratory tract. The rate of hypertension was significantly higher in the hypopne group than the apnea group (p=0,021; p<0,05). The rate of Rapid Eye Movement (REM) was found significantly higher in the hypopne group than the apnea group (p=0,016; p<0,05). Non-Rapid Eye Movement (NREM) apne-hypopne index (AHI) in the apne group was found significantly high compared to the hypopne group (p=0,007; p<0,01). Supin AI measurements were found significantly high in the apnea group (p=0,047; p<0,05). In Uvula assessment, the proportion of elonge uvula in the apne group was significantly high (p=0,043; p<0,05). The obstructive sleep apnea syndrome with an apnea weight is more severe than the manifest OSAS with hypopnea. Hypertension is more common in obstructive sleep apnea syndrome, in the group of patients with hypopnea pain.

Keywords:

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Kocaeli Medical Journal

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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Cite : 383
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Kocaeli Medical Journal