ภาวะหยุดหายใจขณะหลับจากการอุดกั้นและโรคหลอดเลือดสมอง
คำสำคัญ:
ภาวะหยุดหายใจขณะหลับจากการอุดกั้น, ภาวะการหายใจผิดปกติขณะนอนหลับ, โรคหลอดเลือดสมองบทคัดย่อ
ภาวะการหายใจผิดปกติที่เกิดขึ้นขณะนอนหลับ (sleep-disordered breathing) เป็นภาวะที่พบได้บ่อยในประชากรทั่วไปและมีแนวโน้มเพิ่มสูงขึ้นเรื่อยๆ นอกจากนี้ยังพบว่าในกลุ่มผู้ป่วยโรคหลอดเลือดสมองมีความชุกของภาวะการหายใจผิดปกติที่เกิดขึ้นขณะนอนหลับสูงกว่าในประชากรทั่วไปถึง 4-6 เท่า ในบทความนี้จะกล่าวถึงนิยามและชนิดของภาวะการหายใจผิดปกติที่เกิดขึ้นขณะนอนหลับ ปัจจัยที่ส่งผลให้เกิดภาวะการหายใจผิดปกติที่เกิดขึ้นขณะนอนหลับ ผลกระทบของภาวะการหายใจผิดปกติที่เกิดขึ้นขณะนอนหลับต่อโรคหลอดเลือดและเมตาบอลิกทั้งโรคความดันโลหิตสูง โรคเบาหวาน โรคหัวใจเต้นผิดจังหวะชนิด atrial fibrillation รวมไปถึงโรคหลอดเลือดสมอง ข้อมูลการรักษาภาวะการหายใจผิดปกติที่เกิดขึ้นขณะนอนหลับด้วยเครื่องแรงดันอากาศบวกขณะหายใจเข้า (continuous positive airway pressure device, CPAP) และผลต่อโรคหลอดเลือดสมอง
เอกสารอ้างอิง
1. Peppard PE, Young T, Barnet JH, Palta M, Hagen EW, Hla KM. Increased prevalence of sleep-disordered breathing in adults. American journal of epidemiology. 2013;177(9):1006-14.
2. Ifergane G, Ovanyan A, Toledano R, Goldbart A, Abu-Salame I, Tal A, et al. Obstructive Sleep Apnea in Acute Stroke: A Role for Systemic Inflammation. Stroke. 2016;47(5):1207-12.
3. Berry RB, Brooks R, Gamaldo CE, Harding SM, Marcus C, Vaughn BV. The AASM manual for the scoring of sleep and associated events. Rules, Terminology and Technical Specifications, Darien, Illinois, American Academy of Sleep Medicine. 2012;176.
4. Bassetti CL, Milanova M, Gugger M. Sleep-disordered breathing and acute ischemic stroke: diagnosis, risk factors, treatment, evolution, and long-term clinical outcome. Stroke. 2006;37(4):967-72.
5. Parra O, Arboix A, Bechich S, Garcia-Eroles L, Montserrat JM, Lopez JA, et al. Time course of sleep-related breathing disorders in first-ever stroke or transient ischemic attack. American journal of respiratory and critical care medicine. 2000;161(2 Pt 1):375-80.
6. Javaheri S, Barbe F, Campos-Rodriguez F, Dempsey JA, Khayat R, Javaheri S, et al. Sleep Apnea: Types, Mechanisms, and Clinical Cardiovascular Consequences. Journal of the American College of Cardiology. 2017;69(7):841-58.
7. Cizza G, de Jonge L, Piaggi P, Mattingly M, Zhao X, Lucassen E, et al. Neck circumference is a predictor of metabolic syndrome and obstructive sleep apnea in short-sleeping obese men and women. Metabolic syndrome and related disorders. 2014;12(4):231-41.
8. Jordan AS, McSharry DG, Malhotra A. Adult obstructive sleep apnoea. Lancet. 2014;383(9918):736-47.
9. Jehan S, Auguste E, Zizi F, Pandi-Perumal SR, Gupta R, Attarian H, et al. Obstructive sleep apnea: women’s perspective. Journal of sleep medicine and disorders. 2016;3(6):1064.
10. Koo DL, Nam H, Thomas RJ, Yun C-H. Sleep disturbances as a risk factor for stroke. Journal of stroke. 2018;20(1):12-32.
11. Fava C, Dorigoni S, Dalle Vedove F, Danese E, Montagnana M, Guidi GC, et al. Effect of CPAP on blood pressure in patients with OSA/hypopnea a systematic review and meta-analysis. Chest. 2014;145(4):762-71.
12. Liu L, Cao Q, Guo Z, Dai Q. Continuous positive airway pressure in patients with obstructive sleep apnea and resistant hypertension: a meta-analysis of randomized controlled trials. The Journal of Clinical Hypertension. 2016;18(2):153-8.
13. Calhoun DA, Jones D, Textor S, Goff DC, Murphy TP, Toto RD, et al. Resistant hypertension: diagnosis, evaluation, and treatment: a scientific statement from the American Heart Association Professional Education Committee of the Council for High Blood Pressure Research. Circulation. 2008;117(25):e510-e26.
14. Javaheri S, Barbe F, Campos-Rodriguez F, Dempsey JA, Khayat R, Javaheri S, et al. Sleep Apnea: Types, Mechanisms, and Clinical Cardiovascular Consequences. Journal of the American College of Cardiology. 2017;69(7):841-58.
15. Kaur A, Mokhlesi B. The effect of OSA therapy on glucose metabolism: it’s all about cpap adherence! Journal of Clinical Sleep Medicine. 2017;13(03):365-7.
16. Malik JA, Masoodi SR, Shoib S. Obstructive sleep apnea in Type 2 diabetes and impact of continuous positive airway pressure therapy on glycemic control. Indian journal of endocrinology and metabolism. 2017;21(1):106-12.
17. Pamidi S, Wroblewski K, Stepien M, Sharif-Sidi K, Kilkus J, Whitmore H, et al. Eight hours of nightly continuous positive airway pressure treatment of obstructive sleep apnea improves glucose metabolism in patients with prediabetes. A randomized controlled trial. American journal of respiratory and critical care medicine. 2015;192(1):96-105.
18. Weinstock TG, Wang X, Rueschman M, Ismail-Beigi F, Aylor J, Babineau DC, et al. A controlled trial of CPAP therapy on metabolic control in individuals with impaired glucose tolerance and sleep apnea. Sleep. 2012;35(5):617-25.
19. Martínez-Cerón E, Barquiel B, Bezos A-M, Casitas R, Galera R, García-Benito C, et al. Effect of continuous positive airway pressure on glycemic control in patients with obstructive sleep apnea and type 2 diabetes. A randomized clinical trial. American journal of respiratory and critical care medicine. 2016;194(4):476-85.
20. Sharma S, Culebras A. Sleep apnoea and stroke. Stroke and vascular neurology. 2016;1(4):185-91.
21. Kanagala R, Murali NS, Friedman PA, Ammash NM, Gersh BJ, Ballman KV, et al. Obstructive sleep apnea and the recurrence of atrial fibrillation. Circulation. 2003;107(20): 2589-94.
22. Patel D, Mohanty P, Di Biase L, Shaheen M, Lewis WR, Quan K, et al. Safety and efficacy of pulmonary vein antral isolation in patients with obstructive sleep apnea: the impact of continuous positive airway pressure. Circulation: Arrhythmia and electrophysiology. 2010;3(5):445-51.
23. Loke YK, Brown JWL, Kwok CS, Niruban A, Myint PK. Association of obstructive sleep apnea with risk of serious cardiovascular events: a systematic review and meta-analysis. Circulation: Cardiovascular Quality and Outcomes. 2012;5(5):720-8.
24. Kim H, Yun C-H, Thomas RJ, Lee SH, Seo HS, Cho ER, et al. Obstructive sleep apnea as a risk factor for cerebral white matter change in a middle-aged and older general population. Sleep. 2013;36(5):709-15.
25. Iranzo A, Santamaria J, Berenguer J, Sanchez M, Chamorro A. Prevalence and clinical importance of sleep apnea in the first night after cerebral infarction. Neurology. 2002;58(6):911-6.
26. Durgan DJ, Bryan Jr RM. Cerebrovascular consequences of obstructive sleep apnea. Journal of the American Heart Association. 2012;1(4):e000091.
27. Toraldo DM, Peverini F, De Benedetto M, De Nuccio F. Obstructive sleep apnea syndrome: blood viscosity, blood coagulation abnormalities, and early atherosclerosis. Lung. 2013;191(1):1-7.
28. Shamsuzzaman A, Amin RS, Calvin AD, Davison D, Somers VK. Severity of obstructive sleep apnea is associated with elevated plasma fibrinogen in otherwise healthy patients. Sleep and Breathing. 2014;18(4):761-6.
29. Sahlin C, Sandberg O, Gustafson Y, Bucht G, Carlberg B, Stenlund H, et al. Obstructive sleep apnea is a risk factor for death in patients with stroke: a 10-year follow-up. Archives of internal medicine. 2008;168(3):297-301.
30. Brill A-K, Horvath T, Seiler A, Camilo M, Haynes AG, Ott SR, et al. CPAP as treatment of sleep apnea after stroke: A meta-analysis of randomized trials. Neurology. 2018;90(14): e1222-e30.
31. Bassetti CL. Sleep and Stroke. In: Kryger M, Roth T, Dement WC, editors. Principles and Practice of Sleep Medicine. 6th ed. Philadelphia: Elsevier; 2017. p. 903-15.
32. Parra O, Sánchez-Armengol Á, Capote F, Bonnin M, Arboix A, Campos-Rodríguez F, et al. Efficacy of continuous positive airway pressure treatment on 5-year survival in patients with ischaemic stroke and obstructive sleep apnea: a randomized controlled trial. Journal of sleep research. 2015;24(1):47-53.
33. Martínez-García MÁ, Soler-Cataluña JJ, Ejarque-Martínez L, Soriano Y, Román-Sánchez P, Illa FB, et al. Continuous positive airway pressure treatment reduces mortality in patients with ischemic stroke and obstructive sleep apnea: a 5-year follow-up study. American journal of respiratory and critical care medicine. 2009;180(1):36-41.
34. McEvoy RD, Antic NA, Heeley E, Luo Y, Ou Q, Zhang X, et al. CPAP for prevention of cardiovascular events in obstructive sleep apnea. New England Journal of Medicine. 2016;375(10):919-31.
35. Collop N, Stierer TL, Shafazand S. SAVE Me From CPAP. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine. 2016;12(12):1701-4.
36. Barbé F, Durán-Cantolla J, Sánchez-de-la- Torre M, Martínez-Alonso M, Carmona C, Barceló A, et al. Effect of continuous positive airway pressure on the incidence of hypertension and cardiovascular events in nonsleepy patients with obstructive sleep apnea: a randomized controlled trial. Jama. 2012;307(20):2161-8.
37. Peker Y, Glantz H, Eulenburg C, Wegscheider K, Herlitz J, Thunström E. Effect of positive airway pressure on cardiovascular outcomes in coronary artery disease patients with nonsleepy obstructive sleep apnea. The RICCADSA randomized controlled trial. American journal of respiratory and critical care medicine. 2016;194(5):613-20.
2. Ifergane G, Ovanyan A, Toledano R, Goldbart A, Abu-Salame I, Tal A, et al. Obstructive Sleep Apnea in Acute Stroke: A Role for Systemic Inflammation. Stroke. 2016;47(5):1207-12.
3. Berry RB, Brooks R, Gamaldo CE, Harding SM, Marcus C, Vaughn BV. The AASM manual for the scoring of sleep and associated events. Rules, Terminology and Technical Specifications, Darien, Illinois, American Academy of Sleep Medicine. 2012;176.
4. Bassetti CL, Milanova M, Gugger M. Sleep-disordered breathing and acute ischemic stroke: diagnosis, risk factors, treatment, evolution, and long-term clinical outcome. Stroke. 2006;37(4):967-72.
5. Parra O, Arboix A, Bechich S, Garcia-Eroles L, Montserrat JM, Lopez JA, et al. Time course of sleep-related breathing disorders in first-ever stroke or transient ischemic attack. American journal of respiratory and critical care medicine. 2000;161(2 Pt 1):375-80.
6. Javaheri S, Barbe F, Campos-Rodriguez F, Dempsey JA, Khayat R, Javaheri S, et al. Sleep Apnea: Types, Mechanisms, and Clinical Cardiovascular Consequences. Journal of the American College of Cardiology. 2017;69(7):841-58.
7. Cizza G, de Jonge L, Piaggi P, Mattingly M, Zhao X, Lucassen E, et al. Neck circumference is a predictor of metabolic syndrome and obstructive sleep apnea in short-sleeping obese men and women. Metabolic syndrome and related disorders. 2014;12(4):231-41.
8. Jordan AS, McSharry DG, Malhotra A. Adult obstructive sleep apnoea. Lancet. 2014;383(9918):736-47.
9. Jehan S, Auguste E, Zizi F, Pandi-Perumal SR, Gupta R, Attarian H, et al. Obstructive sleep apnea: women’s perspective. Journal of sleep medicine and disorders. 2016;3(6):1064.
10. Koo DL, Nam H, Thomas RJ, Yun C-H. Sleep disturbances as a risk factor for stroke. Journal of stroke. 2018;20(1):12-32.
11. Fava C, Dorigoni S, Dalle Vedove F, Danese E, Montagnana M, Guidi GC, et al. Effect of CPAP on blood pressure in patients with OSA/hypopnea a systematic review and meta-analysis. Chest. 2014;145(4):762-71.
12. Liu L, Cao Q, Guo Z, Dai Q. Continuous positive airway pressure in patients with obstructive sleep apnea and resistant hypertension: a meta-analysis of randomized controlled trials. The Journal of Clinical Hypertension. 2016;18(2):153-8.
13. Calhoun DA, Jones D, Textor S, Goff DC, Murphy TP, Toto RD, et al. Resistant hypertension: diagnosis, evaluation, and treatment: a scientific statement from the American Heart Association Professional Education Committee of the Council for High Blood Pressure Research. Circulation. 2008;117(25):e510-e26.
14. Javaheri S, Barbe F, Campos-Rodriguez F, Dempsey JA, Khayat R, Javaheri S, et al. Sleep Apnea: Types, Mechanisms, and Clinical Cardiovascular Consequences. Journal of the American College of Cardiology. 2017;69(7):841-58.
15. Kaur A, Mokhlesi B. The effect of OSA therapy on glucose metabolism: it’s all about cpap adherence! Journal of Clinical Sleep Medicine. 2017;13(03):365-7.
16. Malik JA, Masoodi SR, Shoib S. Obstructive sleep apnea in Type 2 diabetes and impact of continuous positive airway pressure therapy on glycemic control. Indian journal of endocrinology and metabolism. 2017;21(1):106-12.
17. Pamidi S, Wroblewski K, Stepien M, Sharif-Sidi K, Kilkus J, Whitmore H, et al. Eight hours of nightly continuous positive airway pressure treatment of obstructive sleep apnea improves glucose metabolism in patients with prediabetes. A randomized controlled trial. American journal of respiratory and critical care medicine. 2015;192(1):96-105.
18. Weinstock TG, Wang X, Rueschman M, Ismail-Beigi F, Aylor J, Babineau DC, et al. A controlled trial of CPAP therapy on metabolic control in individuals with impaired glucose tolerance and sleep apnea. Sleep. 2012;35(5):617-25.
19. Martínez-Cerón E, Barquiel B, Bezos A-M, Casitas R, Galera R, García-Benito C, et al. Effect of continuous positive airway pressure on glycemic control in patients with obstructive sleep apnea and type 2 diabetes. A randomized clinical trial. American journal of respiratory and critical care medicine. 2016;194(4):476-85.
20. Sharma S, Culebras A. Sleep apnoea and stroke. Stroke and vascular neurology. 2016;1(4):185-91.
21. Kanagala R, Murali NS, Friedman PA, Ammash NM, Gersh BJ, Ballman KV, et al. Obstructive sleep apnea and the recurrence of atrial fibrillation. Circulation. 2003;107(20): 2589-94.
22. Patel D, Mohanty P, Di Biase L, Shaheen M, Lewis WR, Quan K, et al. Safety and efficacy of pulmonary vein antral isolation in patients with obstructive sleep apnea: the impact of continuous positive airway pressure. Circulation: Arrhythmia and electrophysiology. 2010;3(5):445-51.
23. Loke YK, Brown JWL, Kwok CS, Niruban A, Myint PK. Association of obstructive sleep apnea with risk of serious cardiovascular events: a systematic review and meta-analysis. Circulation: Cardiovascular Quality and Outcomes. 2012;5(5):720-8.
24. Kim H, Yun C-H, Thomas RJ, Lee SH, Seo HS, Cho ER, et al. Obstructive sleep apnea as a risk factor for cerebral white matter change in a middle-aged and older general population. Sleep. 2013;36(5):709-15.
25. Iranzo A, Santamaria J, Berenguer J, Sanchez M, Chamorro A. Prevalence and clinical importance of sleep apnea in the first night after cerebral infarction. Neurology. 2002;58(6):911-6.
26. Durgan DJ, Bryan Jr RM. Cerebrovascular consequences of obstructive sleep apnea. Journal of the American Heart Association. 2012;1(4):e000091.
27. Toraldo DM, Peverini F, De Benedetto M, De Nuccio F. Obstructive sleep apnea syndrome: blood viscosity, blood coagulation abnormalities, and early atherosclerosis. Lung. 2013;191(1):1-7.
28. Shamsuzzaman A, Amin RS, Calvin AD, Davison D, Somers VK. Severity of obstructive sleep apnea is associated with elevated plasma fibrinogen in otherwise healthy patients. Sleep and Breathing. 2014;18(4):761-6.
29. Sahlin C, Sandberg O, Gustafson Y, Bucht G, Carlberg B, Stenlund H, et al. Obstructive sleep apnea is a risk factor for death in patients with stroke: a 10-year follow-up. Archives of internal medicine. 2008;168(3):297-301.
30. Brill A-K, Horvath T, Seiler A, Camilo M, Haynes AG, Ott SR, et al. CPAP as treatment of sleep apnea after stroke: A meta-analysis of randomized trials. Neurology. 2018;90(14): e1222-e30.
31. Bassetti CL. Sleep and Stroke. In: Kryger M, Roth T, Dement WC, editors. Principles and Practice of Sleep Medicine. 6th ed. Philadelphia: Elsevier; 2017. p. 903-15.
32. Parra O, Sánchez-Armengol Á, Capote F, Bonnin M, Arboix A, Campos-Rodríguez F, et al. Efficacy of continuous positive airway pressure treatment on 5-year survival in patients with ischaemic stroke and obstructive sleep apnea: a randomized controlled trial. Journal of sleep research. 2015;24(1):47-53.
33. Martínez-García MÁ, Soler-Cataluña JJ, Ejarque-Martínez L, Soriano Y, Román-Sánchez P, Illa FB, et al. Continuous positive airway pressure treatment reduces mortality in patients with ischemic stroke and obstructive sleep apnea: a 5-year follow-up study. American journal of respiratory and critical care medicine. 2009;180(1):36-41.
34. McEvoy RD, Antic NA, Heeley E, Luo Y, Ou Q, Zhang X, et al. CPAP for prevention of cardiovascular events in obstructive sleep apnea. New England Journal of Medicine. 2016;375(10):919-31.
35. Collop N, Stierer TL, Shafazand S. SAVE Me From CPAP. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine. 2016;12(12):1701-4.
36. Barbé F, Durán-Cantolla J, Sánchez-de-la- Torre M, Martínez-Alonso M, Carmona C, Barceló A, et al. Effect of continuous positive airway pressure on the incidence of hypertension and cardiovascular events in nonsleepy patients with obstructive sleep apnea: a randomized controlled trial. Jama. 2012;307(20):2161-8.
37. Peker Y, Glantz H, Eulenburg C, Wegscheider K, Herlitz J, Thunström E. Effect of positive airway pressure on cardiovascular outcomes in coronary artery disease patients with nonsleepy obstructive sleep apnea. The RICCADSA randomized controlled trial. American journal of respiratory and critical care medicine. 2016;194(5):613-20.
ดาวน์โหลด
เผยแพร่แล้ว
2019-08-20
รูปแบบการอ้างอิง
1.
สุทธิคนึง ว, พิมลศรี ช. ภาวะหยุดหายใจขณะหลับจากการอุดกั้นและโรคหลอดเลือดสมอง. J Thai Stroke Soc [อินเทอร์เน็ต]. 20 สิงหาคม 2019 [อ้างถึง 30 ธันวาคม 2025];18(2):40-51. available at: https://he01.tci-thaijo.org/index.php/jtss/article/view/185073
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ประเภทบทความ
บทความปริทัศน์
สัญญาอนุญาต
ข้อความภายในบทความที่ตีพิมพ์ในวารสารสมาคมโรคหลอดเลือดสมองไทยเล่มนี้ ตลอดจนความรับผิดชอบด้านเนื้อหาและการตรวจร่างบทความเป็นของผู้นิพนธ์ ไม่เกี่ยวข้องกับกองบรรณาธิการแต่อย่างใด การนำเนื้อหา ข้อความหรือข้อคิดเห็นของบทความไปเผยแพร่ ต้องได้รับอนุญาตจากกองบรรณาธิการอย่างเป็นลายลักษณ์อักษร ผลงานที่ได้รับการตีพิมพ์ในวารสารเล่มนี้ถือเป็นลิขสิทธิ์ของวารสาร
