医学
阻塞性睡眠呼吸暂停
疾病
心理干预
生活质量(医疗保健)
人口
临床试验
重症监护医学
睡眠呼吸暂停
物理疗法
儿科
内科学
精神科
护理部
环境卫生
作者
Qinwei Yu,Xinyu Hu,Tao Zheng,Li Liu,Guiying Kuang,Hanshu Liu,Xinyi Wang,Jingwen Li,Jinsha Huang,Shaogang Wang,Zhicheng Lin,Nian Xiong
标识
DOI:10.1016/j.parkreldis.2023.105790
摘要
Parkinson's disease (PD) is a chronic neurodegenerative disease characterized by motor and non-motor symptoms, including obstructive sleep apnea (OSA), a common comorbid sleep disorder. The prevalence of OSA in PD is high, and its impact on quality of life, accident risk, and limited treatment options underscores the need for vigilant monitoring and effective interventions. OSA is observed in 20–70% of PD patients, whereas the general population exhibits a lower prevalence ranging from 2 to 14%. These discrepancies in prevalence may be attributed to differences in demographic characteristics, sample sizes with selection bias, and variations in scoring systems for apnea and hypopnea events used across different studies. This review highlights the potential pathogenesis of comorbid OSA in PD and provides an overview of ongoing clinical trials investigating interventions for this condition. Several mechanisms have been implicated in the development of OSA in PD, including intermittent hypoxemia, sleep fragmentation, alterations in the glymphatic system homeostasis, upper airway obstruction, and inflammation. Given the adverse effects of PD comorbid OSA, early intervention measures are crucial. It is imperative to conduct longitudinal studies and clinical trials to elucidate the pathogenesis and develop novel and effective interventions for OSA in PD patients. These efforts aim to delay the progression of PD, enhance patients' quality of life, and alleviate the burden on society and families.
科研通智能强力驱动
Strongly Powered by AbleSci AI