重叠综合征研究进展
Advances in Research of Overlap Syndrome
摘要: 研究发现睡眠呼吸暂停综合征、慢性阻塞性肺疾病与炎症因子、维生素存在相关性,然而,关于OS患者维生素D状态及炎症因子的证据很少。近期研究发现睡眠呼吸暂停综合征导致的慢性间歇性缺氧、高碳酸血症、炎症因子释放、交感神经激活等机制与慢性阻塞性肺疾病的不可逆性气道阻塞有一定的共通性。本文就机制进一步阐述维生素D状态及炎症因子在其两种疾病中的共同特点。
Abstract: Studies have found that sleep apnea syndrome and chronic obstructive pulmonary disease are as-sociated with inflammatory factors and vitamins. However, there is little evidence on vitamin D status and inflammatory factors in patients with OS. Recent studies have found that the mecha-nisms of chronic intermittent hypoxia, hypercapnia, inflammatory cytokine release, and sympa-thetic nerve activation caused by sleep apnea syndrome have certain commonness with irreversible airway obstruction in chronic obstructive pulmonary disease. This article further elucidates the mechanism of vitamin D status and the common characteristics of inflammatory cytokines in both diseases.
文章引用:孙文娟, 杨发满, 李晓平. 重叠综合征研究进展[J]. 临床医学进展, 2023, 13(5): 8621-8626. https://doi.org/10.12677/ACM.2023.1351205

参考文献

[1] 曾娟. 重叠综合征患者血清TNF-α、IL-6、IL-8的表达及意义[D]: [硕士学位论文]. 乌鲁木齐: 新疆医科大学, 2015.
[2] Ogilvie, R.P. and Patel, S.R. (2018) The Epidemiology of Sleep and Diabetes. Current Diabetes Reports, 18, Article No. 82. [Google Scholar] [CrossRef] [PubMed]
[3] Yu, H., et al. (2022) Self-Management Behavior, Associated Factors and Its Relationship with Social Support and Health Literacy in Patients with Obstructive Sleep Ap-nea-Hypopnea Syndrome. BMC Pulmonary Medicine, 22, Article No. 352. [Google Scholar] [CrossRef] [PubMed]
[4] 白亚虎, 董延春, 宁康. 常见信号通路在慢性阻塞性肺疾病发病机制中的研究进展[J]. 中国医药, 2023, 18(1): 127-130. [Google Scholar] [CrossRef
[5] 周丽. 维生素D与COPD炎性指标相关性的临床研究[D]: [硕士学位论文]. 芜湖: 皖南医学院, 2022.
[6] Domej, W., Oettl, K. and Renner, W. (2014) Oxidative Stress and Free Radicals in COPD—Implications and Relevance for Treatment. International Journal of Chronic Obstructive Pulmonary Disease, 9, 1207-1224. [Google Scholar] [CrossRef
[7] 谭晓纯, 尹凤先. OSAHS患者ADMA、25⁃羟维生素D和BMI变化及其与疾病严重程度相关性研究[J]. 分子诊断与治疗杂志, 2020, 12(10): 1341-1344.
[8] Archontogeorgis, K., et al. (2022) Vitamin D Levels in Patients with Overlap Syndrome, Is It Associated with Disease Severity? Journal of Personalized Medicine, 12, Article No. 1693. [Google Scholar] [CrossRef] [PubMed]
[9] 汪亚亚, 王小军, 杜延玲, 栾强强, 钱小顺. 慢性阻塞性肺疾病与阻塞型睡眠呼吸暂停综合征重叠综合征的临床特征及危险因素[J]. 中华老年多器官疾病杂志, 2021, 20(11): 812-816. [Google Scholar] [CrossRef
[10] 汪亚亚, 杜延玲. COPD-OSAHS重叠综合征的研究进展[J]. 临床误诊误治, 2019, 32(7): 107-112.
[11] Liu, X., et al. (2020) The Relationship between Inflammation and Neurocognitive Dysfunction in Obstructive Sleep Apnea Syndrome. Journal of Neuroinflammation, 17, 229. [Google Scholar] [CrossRef] [PubMed]
[12] Aslani, M.R., Amani, M., Moghadas, F. and Ghobadi, H. (2022) Adipolin and IL-6 Serum Levels in Chronic Obstructive Pulmonary Disease. Advances in Respiratory Medicine, 90, 391-398. [Google Scholar] [CrossRef] [PubMed]
[13] Stanek, A., Brozyna-Tkaczyk, K. and Myslinski, W. (2021) Oxidative Stress Markers among Obstructive Sleep Apnea Patients. Oxidative Medicine and Cellular Longevity, 2021, Article ID: 9681595. [Google Scholar] [CrossRef] [PubMed]
[14] Guo, P., et al. (2022) Pathological Mechanism and Targeted Drugs of COPD. International Journal of Chronic Obstructive Pulmonary Disease, 17, 1565-1575. [Google Scholar] [CrossRef
[15] Salepci, B., et al. (2017) Vitamin D Deficiency in Patients Referred for Evaluation of Obstructive Sleep Apnea. Journal of Clinical Sleep Medicine, 13, 607-612. [Google Scholar] [CrossRef] [PubMed]
[16] 王丽峰, 张春芳. 哮喘和慢性阻塞性肺疾病重叠综合征患者血清维生素D水平改变及其临床意义[J]. 检验医学与临床, 2016, 13(18): 2619-2621.
[17] Luo, X., Chang, R., Zhang, J., Jiang, P. and Xu, S. (2022) Bi-Directional and Multivariate Mendelian Randomization Analysis of the Relationship Be-tween Circulating 25-Hydroxyvitamin D Concentration and Obstructive Sleep Apnea. BMC Pulmonary Medicine, 22, Article No. 380. [Google Scholar] [CrossRef] [PubMed]
[18] Li, X., He, J., Yu, M. and Sun, J. (2020) The Efficacy of Vitamin D Therapy for Patients with COPD: A Meta-Analysis of Randomized Controlled Trials. Annals of Palliative Medicine, 9, 286-297. [Google Scholar] [CrossRef] [PubMed]
[19] Chang, H.-P., Chen, Y.-F. and Du, J.-K. (2020) Obstructive Sleep Apnea Treatment in Adults. The Kaohsiung Journal of Medical Sciences, 36, 7-12. [Google Scholar] [CrossRef] [PubMed]
[20] Luo, Y., Zhang, F.R., Wu, J.L. and Jiang, X.J. (2023) Efficacy of Con-tinuous Positive Airway Pressure on TNF-α in Obstructive Sleep Apnea Patients: A Meta-Analysis. PLOS ONE, 18, e0282172. [Google Scholar] [CrossRef] [PubMed]
[21] Sutherland, K., Vanderveken, O.M., Tsuda, H., Marklund, M., Gagnadoux, F., Kushida, C.A. and Cistulli, P.A. (2014) Oral Appliance Treatment for Obstructive Sleep Apnea: An Up-date. Journal of Clinical Sleep Medicine, 10, 215-227. [Google Scholar] [CrossRef] [PubMed]
[22] Cerritelli, L., Hatzopoulos, S., Catalano, A., Bianchini, C., Cammaroto, G., Meccariello, G., Iannella, G., Vicini, C., Pelucchi, S., Skarzynski, P.H. and Ciorba, A. (2022). Rapid Maxillary Expan-sion (RME): An Otolaryngologic Perspective. Journal of Clinical Medicine, 11, Article No. 5243.[CrossRef] [PubMed]
[23] 杨蓉. 无创正压通气治疗慢阻肺合并阻塞性睡眠呼吸暂停重叠综合征的临床效果观察[J]. 当代医学, 2021, 27(19): 34-36.