KRONİK OBSTRUKTİF AKCİĞER HASTALIĞINDA EVRELERE GÖRE UYKU YAKINMALARININ ŞİDDETİNİN DEĞERLENDİRİLMESİ

Kronik Obstruktif Akciğer Hastalığı ve uyku arasındaki ilişki en sık araştırılan konulardan biridir. Insomni ve gündüz uykululuğunda artış normal bireylerde olduğu gibi, KOAH hastalarının yaşam kalitesini de oldukça etkilemektedir. Bu çalışmadaki polisomnografi tetkikinin kullanılamadığı yerlerde Epworth ve Pitsburgh gibi anketlerle uyku şikayetlerini değerlendirmektir. Çalışmaya 33 erkek, 37 kadın toplam 70 hasta dahil edildi. Çalışma iki basamakta planlandı. KOAH semptomları olan hastalar klinik olarak değerlendirildi ve evrelemeleri yapıldı. İkinci planda tüm hastalar uyku değerlendirme anketleri ile değerlendirildi. Epworth Uykululuk Skalası ve Pittsburgh Uyku Kalitesi Anketi yetmiş KOAH hastasına uygulandı. KOAH evreleriyle epworth ve pitsburgh anketleri arasındaki ilişkiyi incelediğimizde ne epworth uykululuk anketinde ne de pitsburgh uyku kalitesi indeksinde evreyle ilişkili anlamlı sonuçlar elde edilmedi KOAH tanısı almış ve evrelemesi yapılmış 70 hastayı uyku yakınmaları açısından değerlendirdik ve hastalık evresi ile yakınmalarının şiddeti arasında bir ilişki olmadığını KOAH'ın tek başına uyku kalitesini olumsuz etkilediğini gösterdik.

EVALUATION OF THE SEVERITY OF SLEEP COMPLAINTS ACCORDING TO THE CHRONIC OBSTRUCTIVE PULMONARY DISEASE STAGES

The relationship between chronic obstructive pulmonary disease and sleep is one of the most researched topics. Insomnia and daytime sleepiness are commonly seen in normal individuals as in patients with COPD and affects the quality of life. Our aim in this study is to evaluate the sleep complaints by Epworth and Pitsburgh scales in centers without polisomnography which is the gold standard in sleep disorders. 33 men, 37 women a total of 70 patients participated to this study. The study was planned in two steps. COPD patients were clinically evaluated and staging were performed. In the second plan, all patients were evaluated with a sleep evaluation questionnaire. The Epworth Sleepiness Scale and the Pittsburgh Sleep Quality Survey was administered to seventy COPD patients. When we examined the COPD stages and Pitsburgh quality index and Epworth sleepiness questionnaire results, we found no significant association between them. We evaluated 70 COPD patients in term of sleep complaints and we showed there is no association between the stages of COPD and the severity of sleep complaints. COPD itself affects the sleep quality negatively.

PDF

___

Budhiraja R, Parthasarathy S, Budhiraja P, Habib MP, Wendel C, Quan SF. Insomnia in patients with COPD. Sleep. 2012 Mar 1; 35(3): 369-75
Önder Öztürk. Chronic Obstructive Pulmonary Disease and Sleep. Euras J Pulm. 2011; 13(2): 77
Samuel Krachman, Omar A. Minai, and Steven M. Scharf. Sleep abnormalities and Treatment in Emphysema Proc Am Thorac Soc 2008 5: 42
Collop N. Sleep and sleep disorders in chronic obstructive pulmonary disease. Respiration. ; 80(1): 78-86.
Wynne JW, Block AJ, Hemenway J, Hunt LA, Flick MR. Disordered breathing and oxygen desaturation during sleep in patients with chronic obstructive lung disease (COLD). Am J Med. 1979 Apr; 66(4): 573-9.
Calverley PM, Brezinova V, Douglas NJ, Catterall JR, Flenley DC. The effect of oxygenation on sleep quality in chronic bronchitis and emphysema. Am Rev Respir Dis. 1982 Aug; 126(2): 206-10.
Cormick W, Olson LG, Hensley MJ, Saunders NA. Nocturnal hypoxaemia and quality of sleep in patients with chronic obstructive lung disease. Thorax. 1986 Nov; 41(11): 846-54.
Rennard S, Decramer M, Calverley PM, Pride NB, Soriano JB, Vermeire PA, Vestbo J. Impact of COPD in North America and Europe in 2000: subjects' perspective of Confronting COPD International Survey. Eur Respir J. 2002 Oct; 20(4): 799-805
Fleetham J, West P, Mezon B, Conway W, Roth T, Kryger M. Sleep, arousals, and oxygen desaturation in chronic obstructive pulmonary disease. The effect of oxygen therapy. Am Rev Respir Dis. 1982 Sep; 126(3): 429-33.
Krachman SL, Chatila W, Martin UJ, Permut I, D'Alonzo GE, Gaughan JP, Sternberg AL, Ciccolella D, Criner GJ. Physiologic correlates of sleep quality in severe emphysema. COPD. Jun; 8(3): 182-8
Jones PW, Adamek L, Nadeau G, Banik N. Comparisons of health status scores with MRC grades in COPD: implications for the GOLD 2011 classification. Eur Respir J. 2013 Sep; 42(3): 647-54
Köktürk O. Kronik obstruktif akciğer hastaların- da uyku sorunları. In: Umut S, Ertürk E, eds. Kronik Obstruktif Akciğer Hastalığı. Toraks Ki- taplar. No:2. Galenos Yayıncılık San. Tic. Ltd. Sti. İstanbul; 2000: 167-88
Douglas NJ. Chronic obstructive pulmonary disease. In: Kryger MH, Roth T, Dement WC (eds). Principles and Practice of Sleep Medicine. rd ed. Philadelphia: WB Saunders Company, : 965-75.
Douglas NJ. Sleep in patients with chronic pbstructive pulmonary disease. Clin Chest Med ; 19: 115-25.
Price D, Small M, Milligan G, Higgins V, Gil EG, Estruch J. Impact of night-time symptoms in COPD: a real-world study in five European countries. Int J Chron Obstruct Pulmon Dis. ; 8: 595-603