睡眠呼吸暂停综合征对平衡探索临床旁参数影响的研究

David Cabello Garrido, G. Buiret
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摘要

目的:探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)对体位参数的影响。目的:主要目的是评价视觉前庭-眼反射(VVOR)的平均增益在诊断为OSAHS的患者中是否下降,该参数在中枢损害情况下最容易改变。次要目的是验证视频震振术和体位术的其他参数是否随OSAHS的存在而变化。材料与方法:回顾性分析既往测谎患者的姿势参数(是否患有OSAHS)。结果:纳入的66例患者中,“无OSAHS”与“无OSAHS”患者的平均VVOR增益无显著差异。OSAHS组(分别为0.88比0.71,p = 0.1224)。其他测量的参数,如平均热量不足,体位仪测量的前庭、视觉和躯体传入神经的平均重量,前庭-眼反射的平均增益,体位仪上跌倒的频率,在有无OSAHS的情况下均无统计学差异分布。结论:我们没有显示出存在或不存在OSAHS的姿势参数有任何显著差异,特别是没有前庭和/或中枢受累。
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Study of the Effects of Sleep Apnea Syndrome on the Paraclinical Parameters of Balance Exploration
Aim: To evaluate the impact of Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS) on posturographic parameters. Objective: The primary objective was to evaluate whether the mean gain of the Visually Vestibulo-Ocular Reflex VVOR), the parameter most likely to be modified in case of central damage, decreased in patients diagnosed with OSAHS. The secondary objective was to verify if the other parameters of videonystagmography and posturography varied according to the presence or not of OSAHS. Materials and Methods: Retrospective analysis of posturographic parameters of patients previously tested by polygraphy (whether or not they had OSAHS). Results: In the 66 patients included, the mean VVOR gains did not differ significantly between the "no OSAHS" vs. "OSAHS" groups (respectively 0.88 vs. 0.71, p = 0.1224). None of the other parameters measured, such as the mean caloric deficits, the mean weights of vestibular, visual and somesthetic afferents measured by posturography, the mean gains of the vestibulo-ocular reflex, and the frequency of falls on the posturograph, had a statistically different distribution according to the presence or absence of OSAHS. Conclusion: We did not show any significant difference in posturographic parameters according to the presence or absence of OSAHS, in particular the absence of vestibular and/or central involvement.
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