Uyku Polikliniğine Başvuran Hastaların Bir Yıllık Verilerinin Genel Analizi

Amaç: Obstrüktif uyku apne sendromu (OUAS) uyku esnasında hipofarenks bölgesinde tam veya kısmi daralmasıyla ve oksijen saturasyonundaki (SO2) düşme sonrasında solunum çabası ve intratorasik basıncın negatifleşmesi ile karakterize bir sendrom-dur. Horlama, gündüz aşırı uykululuk hali ve tanıklı apne OUAS’da en çok gözlenen semptomlardır. Polisomnografi (PSG), OUAS tanısı için kullanılan altın standart bir yöntemdir. Bir yıl boyunca uyku laboratuvarında takip edilen hastalarımızı değerlen-dirmeyi amaçladık.Araçlar ve Yöntem: Çalışmamıza 1 Ocak 2018-1 Ocak 2019 zaman aralığında uyku laboratuvarımızda yatan 111 hasta dahil edildi. Hastalar 4 gruba ayrılarak demografik ve klinik bulguları karşılaştırıldı.Bulgular: Hastaların yaş ortalaması 46.55±11.18 yıl idi. Hipertansiyon (HT) görülme sıklığı açısından ağır OUAS grubunda, diğer gruplara kıyasla anlamlı farklılık mevcuttu (p=0.025). Vücut kitle indeksi (VKİ) ağır OUAS grubunda, diğer gruplara göre istatik-sel olarak daha yüksek bulundu (p<0.001). Ayrıca ağır OUAS grubundaki hastalarda hem rapid eye movement (REM) uyku süresi hemde SO2 düzeyi diğer gruptaki hastalara göre istatiksel olarak anlamlı düşük saptandı (p=0.034, p<0.001). Sonuç: Hastalarımızın çoğu, VKİ >30kg/m2 olan olgularda ağır OUAS olarak saptanmıştır. Uyku laboratuvarları ve polisomnog-rafi, bu hastalığın tanısında önemli rol oynamaktadır. Özellikle Obezite ve HT tanılı olguların OUAS açısından sorgulanması gerekmektedir.

Anahtar Kelimeler:

apne-hippne indeksi, komorbidite, polisomnografi, uyku

General Analysis of One-Year Data of Patients Applying to Sleep Polyclinic

Purpose: Obstructive sleep apnea syndrome (OSAS) is a syndrome characterized by complete or partial constriction of the hy-popharynx region during sleep and negative respiration effort and intrathoracic pressure after a decrease in oxygen saturation (SO2). Snoring, witnessed apnea, and excessive daytime sleepiness are the most common symptoms in OSAS. Polysomnography (PSG) is the gold standard method used for the diagnosis of OSAS. We purposed to evaluate our patients who were followed up in the sleep laboratory for a year.Materials and Methods: 111 patients hospitalized in our sleep laboratory between January 1, 2018 and January 1, 2019 were included in our study. Patients were divided into 4 groups, and their demographic and clinical findings were compared.Results: The mean age of the patients was 46.55±11.18 years. There was a significant difference in the incidence of hypertension (HT) in the severe OSAS group compared to the other groups. There was a significant difference in body mass index (BMI) in the severe OSAS group compared to the other groups. In addition, both rapid eye movement (REM), sleep time, and SO2 levels were found to be statistically significantly lower in the patients in the severe OSAS group compared to the patients in the other group.Conclusion: Most of our patients were found to have severe OSAS in cases with a BMI> 30kg / m2. Sleep laboratories and poly-somnography play an important role in the diagnosis of this disease. In particular, patients with a diagnosis of obesity and HT should be questioned in terms of OSAS.

Keywords:

apnea-hypopnea index, comorbidity, polysomnogaphy, sleep,

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