KUNDUZGI UYQUCHANLIK – SURUNKALI OBSTRUKTIV OʼPKA KASALLIGI BEMORLARIDA UYQUNING OBSTRUKTIV APNOE-GIPOPNOE SINDROMI MARKERI
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haddan tashqari kunduzgi uyquchanlik, obstruktiv uyqu apnoe-gipopnoe sindromi, surunkali obstruktiv oʼpka kasalligi##article.abstract##
Surunkali obstruktiv oʼpka kasalligi mavjud boʼlgan 200 bemorda kunduzgi uyquchanlik chastotasini va uning obstruktiv uyqu apnoe-gipopnoe sindromini rivojlanishidagi ahamiyatini oʼrganish uchun Epfortning kunduzgi uyquchanlikni baholash shkalasi boʼyicha soʼrovnoma (Epworth Sleepiness Scale, ESS) va А. M. Veyn, T. S. Yeligulashvili (1998) boʼyicha uyquning obstruktiv apnoe-gipopnoe sindromini aniqlash uchun modifikatsiyalangan soʼrovnomasidan foydalanib skrining oʼtkazildi .
Tadqiqot natijalari kunduzgi uyquchanlik SOOʼK bemorlarning 75,5%da, SOOʼK IV bosqichida (87,6%) va SOOʼK ayol bemorlarda (88,5%) ancha yuqori ortiqcha kunduzgi uyquchanlik holati, qayd yetdi. Uyquchanlik yoki uxlab qolishning oʼrtacha yoki yuqori ehtimoli - 43,0% hollarda "jamoat joylarida passiv oʼtirganda (teatrda, yigʼilishda va hokazolarda) qayd yetilgan.) ", 39,0% da - "kresloda oʼtirganda oʼqishda", 47,4% - "kun davomida yotoqda dam olayotganda", 40,0% - "tekis yoʼlda kamida bir soat toʼxtovsiz mashinada yoʼlovchi sifatida harakatlanayotganda", 41,7% - "tushlikdan keyin spirtli ichimliklarni isteʼmol qilmasdan tinch muhitda oʼtirishda" aniqlandi. 57,6% hollarda kunduzgi uyquchanlik holati mavjud SOOʼK bemorlari orasida obstruktiv uyqu apnoe-gipopnoe sindromining klinik ehtimolligi katta, bu koʼpincha baland tunda xurrak otish (96,7%), uxlash paytida nafas olishni toʼxtashi (91,4%), ertalab bosh ogʼrigʼi yoki uyquni tetiklashtirmaslik hissi bilan birga keladi (79,5%) tungi poliuriya va tez-tez tunda uygʼonish holatlari (70,2%) va soʼnggi 3-5 yil ichida tana vaznining koʼpayishi (63,0%).
Библиографические ссылки
Вейн А.М., Елигулашвили Т.С., Полуэктов М.Г. Синдром апноэ во сне и другие расстройства дыхания, связанные со сном: клиника, диагностика, лечение. Москва, Эйдос Медиа. – 2002.
Кондрацки Д.П., Мартынюк К.И., Писаренко С.В. Хроническая обструктивная болезнь легких как причина временной нетрудоспособности//XXIV Национальный конгресс по болезням органов дыхания. Сб. тезисов, 2019.- 201.-с.164-165.
Писаренко Н.К., Кондрацки Д.П., Писаренко С.В. ХОБЛ как компонента неинфекционных заболеваний и причина смертности// XXIV Национальный конгресс по болезням органов дыхания. Сб. тезисов, 2019.- 200.-с.163-164.
Axson E.L., Bottle A., Cowie M.R., Quint J.K. Relationship between heart failure and the risk of acute exacerbation of COPD//Thorax. 2021:76(8):807-814.
Axson E.L., Sundaram V., Bloom C.I., Bottle A., Cowie M.R., Quint J.K.Temporal Trends in the Incidence of Heart Failure among Patients with Chronic Obstructive Pulmonary Disease and Its Association with Mortality//Ann Am Thorac Soc. 2020:17(8):939-948.
Barnes P.J. Endo-phenotyping of COPD patients//Expert Rev Respir Med. 2021:15(1):27-37
Bourbeau J., Echevarria C. Models of care across the continuum of exacerbations for patients with chronic obstructive pulmonary disease//Chron Respir Dis Jan-Dec 2020:17. doi: 10.1177/1479973119895457
Chervin R.D. Sleepiness, fatigue, tiredness, and lack of energy in obstructive sleep apnea //Chest. 2000:118 (2): 372 – 379.
Dal Negro R.W., Carone M., Cuttitta G., Gallelli L., Pistolesi M., Privitera S., Ceriana P., Pirina P., Balbi B., Vancheri C., Gallo F.M., Chetta A., Turco P. Prevalence and clinical features of most frequent phenotypes in the Italian COPD population: the CLIMA Study//Multidiscip Respir Med. 2021:1:16(1):790.
Flemons W.W., Whitelaw W.A., Mc Nicholas W.T. et al. Clinical features of obstructive sleep apnea syndrome// Breathing Disorders in Sleep. – London. – WB Saunders. – 2002:64 – 85.
Gottlieb D.J., Whitney C.W., Bonekat W.H. et al. Relation of Sleepiness to Respiratory Disturbance Index // Am. J. Respir. Crit. Care Med.1999:159(6):502 – 507.
Guilleminault C, Hoed D, Mitler M. Clinical overview of the sleep apnea syndromes. In: Guilleminault C, Dement W, editors. Sleep apnea syndromes. New York: Allan R Liss; 1978, p. 1-12
Hurst J.R., Siddiqui M.K., Singh B., Varghese P., Holmgren U., de Nigris E. A Systematic Literature Review of the Humanistic Burden of COPD//Int J Chron Obstruct Pulmon Dis. 2021:10(16):1303-1314.
Johansson H., Berterö C., Berg K., Jonasson L.L. To live a life with COPD - the consequences of symptom burden //Int J Chron Obstruct Pulmon Dis. 2019:14:905-909.
Lazic Z., Stankovic I., Milenkovic B., Zvezdin B., Hromis S., Jankovic S., Cupurdija V. Characteristics of COPD Phenotypes in Serbia// Int J Chron Obstruct Pulmon Dis. 2021:16:643-654.
Masror-Roudsary D., Nasrin Fadaee Aghdam, Rafii F., Baha R., Khajeh M., Mardani A. The Relationship between Experienced Respiratory Symptoms and Health-Related Quality of Life in the Elderly with Chronic Obstructive Pulmonary Disease//Crit Care Res Pract. 2021:55:642-75.
Mathioudakis A.G., Janssens W., Sivapalan P., Singanayagam A. Dransfield M.T., Jens-Ulrik Staehr Jensen, Vestbo J. Acute exacerbations of chronic obstructive pulmonary disease: in search of diagnostic biomarkers and treatable traits// Thorax. 2020:75(6):520-527.
Milgrew A.T., Ryan C.F., Fleetman J.A. et al. The impact of obstructive sleep apnea and daytime sleepiness on work limitation// Sleep Med 2007: 9: 42-53.
Owens R., Malhotra A. Sleep-disordered breathing and COPD: the overlap syndrome// Respir Care 2010: 55(10): 1333-1346.
Partinen M., Hublin C. Epidemiology of sleep disorders. In: Kryger MH, Roth T, Dement WC. Principles and practice of sleep medicine. W.B. Saunders, Philadelphia, PA, USA, 2011.
Stanford R.H., Engel-Nitz N.M., Bancroft T., Essoi B. The Identification and Cost of Acute Chronic Obstructive Pulmonary Disease Exacerbations in a United States Population Healthcare Claims Database//COPD. 2020:17(5):499-508.
Ulfberg J, Carter N, Edling C. Sleep-disordered breathing and occupational accidents// Scand J Work Environ Health 2000: 26: 237-242.
Vega-Sánchez Á.E., Téllez-Navarrete N.A., Pérez-Padilla R.Chronic obstructive pulmonary disease: perspectives for primary health care//Rev Invest Clin. 2019:71(1):55-63.
Yang K., Wu Y., Chen D., Liu S., Chen R. The Impact of Lung Function on Extra-Pulmonary Diseases and All-Cause Mortality in US Adult Population with and without COPD //Clin Epidemiol. 2020:12:997-1005.
Zatloukal J., Brat K., Neumannova K., Volal Kopeckyakova E., Hejduk K., Kocova E., KudelaО., Mich 8, Plutinsky M., Koblizek V. Chronic obstructive pulmonary disease - diagnosis and management of stable disease; a personalized approach to care, using the treatable traits concept based on clinical phenotypes. Position paper of the Czech Pneumological and Phthisiological Society//Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2020:164(4):325-356.