急性缺氧对健康成年人睡眠结构的影响:系统回顾

IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY Sleep Medicine Reviews Pub Date : 2024-04-01 DOI:10.1016/j.smrv.2024.101928
Chao Guo, Li Lan, Yan Yan, Mengyuan Kang
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引用次数: 0

摘要

随着高原和高山活动的增加,低地人在缺氧环境中的睡眠质量变得越来越重要。本研究旨在确定急性缺氧对低地居民睡眠结构的影响,并分析不同缺氧程度下睡眠指标的变化。本综述根据《系统综述和元分析首选报告项目》指南进行。共筛选出 23 项研究并纳入定量分析。结果表明,急性缺氧会降低低地人的睡眠质量。在缺氧环境中,睡后唤醒事件和N1的百分比显著增加,而总睡眠时间、睡眠效率、N3和快速眼动睡眠的百分比显著减少。急性缺氧对睡眠开始后觉醒(WASO)的负面影响最大。此外,当低地人暴露在较高水平的缺氧环境中时,他们的睡眠效率下降幅度更大,N1和WASO的百分比上升幅度更高。本研究在原始研究的基础上阐明了急性缺氧暴露对低地居民睡眠的定量影响,并解释了低地居民在缺氧环境中面临的睡眠障碍。
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Effects of acute exposure to hypoxia on sleep structure in healthy adults: A systematic review

The sleep quality of lowlanders in hypoxic environments has become increasingly important with an increase in highland and alpine activities. This study aimed to identify the effects of acute exposure to hypoxia on the sleep structure of lowlanders and to analyze the changes in sleep indicators at varying levels of hypoxia. This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Twenty-three studies were screened and included in the quantitative analysis. The results showed that acute exposure to hypoxia reduced sleep quality in lowlanders. Post-sleep arousal events and the percentage of N1 were significantly increased, whereas total sleep time, sleep efficiency, and the percentage of N3 and rapid eye movement sleep were significantly decreased in hypoxic environments. Acute exposure to hypoxia had the greatest negative impact on wakefulness after sleep onset (WASO). In addition, a larger decrease in sleep efficiency and higher increase in the percentages of N1 and WASO were observed when lowlanders were exposed to higher levels of hypoxia. This study clarifies the quantitative effects of acute hypoxic exposure on sleep in lowlanders based on original studies and explains the sleep disorders faced by lowlanders in hypoxic environments.

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来源期刊
Sleep Medicine Reviews
Sleep Medicine Reviews 医学-临床神经学
CiteScore
20.10
自引率
3.80%
发文量
107
期刊介绍: Sleep Medicine Reviews offers global coverage of sleep disorders, exploring their origins, diagnosis, treatment, and implications for related conditions at both individual and public health levels. Articles comprehensively review clinical information from peer-reviewed journals across various disciplines in sleep medicine, encompassing pulmonology, psychiatry, psychology, physiology, otolaryngology, pediatrics, geriatrics, cardiology, dentistry, nursing, neurology, and general medicine. The journal features narrative reviews, systematic reviews, and editorials addressing areas of controversy, debate, and future research within the field.
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