Türk Uyku Tıbbı Dergisi; 2021;8(3):197-202
REM Uyku Evresi ile İlişkili Obstrüktif Uyku Apne Sendromu ile Pozisyonel Obstrüktif Uyku Apne Sendromu Hastalarının Klinik ve Polisomnografik Olarak Karşılaştırılması
V Kabeloğlu, A Reyhani
Sağlık Bilimleri Üniversitesi, Bakırköy Prof. Dr. Mazhar Osman Eğitim ve Araştırma Hastanesi,İstanbul
obstrüktif uyku apne sendromu (REM-OUAS) ve pozisyon ile ilişkili obstrüktif uyku apne sendromu (poz-OUAS) hastalarının klinik ve polisomnografik özelliklerinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Bu çalışmada Ocak 2019-Kasım 2020 tarihleri arasında Sağlık Bilimleri Üniversitesi, Bakırköy Prof. Dr. Mazhar Osman Eğitim ve Araştırma Hastanesi’nde polisomnografi incelemesi sonrasında OUAS tanısı alan hastalar retrospektif olarak değerlendirilmiştir. Bulgular: Polisomnografi incelemesi sonrasında OUAS tanısı alan 300 hastanın 60’ı (%20) REM-OUAS, 75’i (%25) poz-OUAS tanı kriterlerini karşılamıştır. REM-OUAS grubunda kadın, poz-OUAS grubunda erkekler anlamlı fazla bulunmuştur (p
Clinical and Polysomnographic Comparison of Patients with Rapid Eye Movementdependent and Positional Obstructive Sleep Apnoea Syndromes
Objective: In this study, we aimed to compare the clinical and
polysomnographic features of rapid eye movement sleep-dependent
obstructive sleep apnoea syndrome (REM-OSAS) and positional OSAS
(pos-OSAS).
Materials and Methods: This study included all patients diagnosed
with REM-OSAS and pos-OSAS who were examined at our sleep and
disorders unit between January 2019 and November 2020. All patients
underwent a full-night polysomnographic examination.
Results: A total of 300 patients with OSAS were included in the study,
of which 60 (20%) were diagnosed with REM-OSAS and 75 (25%) with
pos-OSAS. REM-OSAS had a female predominance, whereas pos-OSAS
demonstrated a male predominance (p<0.001). Body mass index was
significantly higher in patients with REM-OSAS than in those with posOSAS (p=0.003). OSAS severity was found to be higher in patients with
pos-OSAS than in those with REM-OSAS (apnoea-hypopnea index: 23/
hour, p<0.001). The supine and REM sleep pulse rates were significantly
higher and the minimum oxygen saturation level was significantly lower
in patients with REM-OSAS than in those with pos-OSAS (p<0.001,
p=0.010).
Conclusion: The results of this study revealed that OSAS severity was
higher in patients with pos-OSAS than in those with REM-OSAS. Body
position plays a more significant role than sleep stage on OSAS severity.
REM-OSAS was more common in female patients, whereas pos-OSAS
had a male predominance. Patients diagnosed with REM-OSAS had a
significant tendency to be overweight. Oxygen saturation was lower in
patients with REM-OSAS than in those with pos-OSAS.