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中国台湾研究:睡眠呼吸暂停者有失明危险

2019-12-15 xujing 中国循环杂志

中国台湾的最新研究表明,睡眠呼吸暂停是糖尿病黄斑水肿的危险因素,有可能导致视力下降或失明。睡眠呼吸暂停症因睡眠障碍,导致血氧水平下降,可能会对血管造成损害,增加患高血压、心脏病、中风和2型糖尿病的危险。研究人员认为,睡眠呼吸暂停也可能通过增加胰岛素抵抗、升高炎症和升高血压,从而导致糖尿病视网膜病变的发展和恶化,所有这些都会损害眼球后部的血管。中国台湾长庚纪念医院的学者观察了8年来所有被诊断为糖尿病

中国台湾的最新研究表明,睡眠呼吸暂停是糖尿病黄斑水肿的危险因素,有可能导致视力下降或失明。

睡眠呼吸暂停症因睡眠障碍,导致血氧水平下降,可能会对血管造成损害,增加患高血压、心脏病、中风和2型糖尿病的危险。

研究人员认为,睡眠呼吸暂停也可能通过增加胰岛素抵抗、升高炎症和升高血压,从而导致糖尿病视网膜病变的发展和恶化,所有这些都会损害眼球后部的血管

中国台湾长庚纪念医院的学者观察了8年来所有被诊断为糖尿病视网膜病变的患者的数据。

他们发现,糖尿病性黄斑水肿患者的重度睡眠呼吸暂停发生率为80.6%,明显高于无糖尿病性黄斑水肿患者(5.5%)。

他们还发现睡眠呼吸暂停越严重,黄斑水肿越严重。而且,重度睡眠呼吸暂停患者的糖尿病性黄斑水肿治疗起来更困难。

研究者认为应将睡眠呼吸暂停作为糖尿病黄斑水肿的危险因素,尽早给予干预,以保护视力。

来源:American Academy of Ophthalmology

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