Darien,IL - 随着我们接近流感季节,具有阻塞性睡眠呼吸暂停的成年人可能需要采取额外的预防措施。一种学习published online as an accepted paper in the临床睡眠医学杂志是第一个发现没有使用CPAP治疗的睡眠呼吸暂停治疗的患者更有可能与流感住院。
Results of the retrospective study show that 61% of patients (17 of 28) who either weren’t prescribed CPAP to treat their sleep apnea or weren’t adherent to their CPAP treatment were hospitalized with the flu, compared with 24% of patients (6 of 25) who were adherent to CPAP therapy. Statistical analysis found that the patients who were non-adherent to CPAP were nearly five times more likely to be hospitalized with a flu infection, despite having a higher rate of flu vaccination.
“Our study would suggest that among patients with obstructive sleep apnea, those who use CPAP are less likely to be hospitalized because of an influenza infection than those who do not use CPAP,” said study coinvestigator Dr. Glen Greenough, associate professor of medicine, psychiatry and neurology at the Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire.
格林镇表示,该研究提供了进一步的证据,睡眠对健康至关重要。
“These results would suggest that use of a treatment, CPAP, that improves sleep quality reduces the severity of influenza infection as determined by rate of hospitalization,” he said. “This might suggest that treating sleep apnea and thereby improving sleep quality has a beneficial effect on the immune system. It also suggests that treating sleep apnea with CPAP could help reduce hospitalizations thereby reducing health care costs.”
Nearly 30 million adults in the U.S. have阻塞性睡眠呼吸暂停一种慢性疾病,包括重复坳lapse of the upper airway during sleep. Common warning signs include snoring and excessive daytime sleepiness. A common treatment isCPAP治疗,使用通过面罩提供的轻度水平的空气压力,以在睡眠期间保持喉咙开放。
The researchers at Dartmouth-Hitchcock Medical Center analyzed the medical records of 53 patients who had sleep apnea and a confirmed case of the flu between 2016-2018. The 28 patients categorized as non-adherent to CPAP treatment had a mean age of 63 years and were 54% male; the 25 CPAP-adherent patients had a mean age of about 60 years and were 52% male. CPAP use was assessed by data download, with adherence defined as usage of at least four hours per night for at least 70% of nights.
该分析还显示,75%的非抗粘附患者接受了流感疫苗,而常规CPAP用户的56%则为56%。虽然没有统计上有统计学意义,作者表明睡眠不良可能对疫苗的非抗粘附患者的反应产生负面影响。
一种ccording to the Centers for Disease Control and Prevention, October is a good time to get vaccinated for the flu. Learn more atCDC.gov/flu.。
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The authors reported no conflicts of interest, and no financial support for this study was received.
请求研究副本“未经处理的睡眠呼吸暂停与流感感染的住院增加有关,” or the associated commentary, “睡觉触动一切,” or to arrange an interview with an author or an AASM spokesperson, please contact the AASM at 630-737-9700 ormedia@www.docksidequiltgallery.com.。接受的论文在在一个问题上最终包含之前在线发布,并不禁止。该研究计划于2020年12月发布期刊。
每月,同行评审临床睡眠医学杂志是美国睡眠学院的官方出版物,这是一个推进睡眠护理的职业会员社会,增强睡vwin088眠健康,以改善生命。AASM鼓励患者与他们的医生谈论睡眠问题并访问Sleepeducation.org.有关睡眠的更多信息,包括AASM认可的睡眠中心的可搜索目录。