今日文獻亮點在於「精準評估與臨床落差」:針對住院心衰竭患者的OSA篩檢,傳統問卷已不適用;而新興的AI機率睡眠分期為神經退化前兆(iRBD)提供了高靈敏度的生物標記。此外,生理時鐘與檢查排程的錯位對客觀睡眠數據的影響也不容忽視。
Sleep medicine · Performance of obstructive sleep apnea screening questionnaires in hospitalized patients with heart failure.
傳統OSA篩檢問卷(如STOP-BAG、柏林問卷)在住院心衰竭患者中預測OSA的表現不佳,不應作為唯一的篩檢工具。
Sleep medicine · Sleep stage uncertainty and mixing in isolated REM sleep behavior disorder.
利用機率性睡眠分期發現,孤立型REM睡眠行為障礙患者存在異常的睡眠階段混雜,且與動作症狀惡化及多巴胺神經退化相關。
Sleep medicine · Sodium-relevant comorbidity risk factors are highly prevalent in individuals with narcolepsy or idiopathic hypersomnia.
嗜睡症與自發性嗜睡症患者有極高比例帶有心血管與腎臟等與鈉相關的共病風險因子,臨床用藥與衛教需謹慎限制鈉攝取。
Sleep medicine · Sleep-timing mismatch (MSFsc-lights-off interval) and its association with polysomnographic sleep parameters in a clinical population under a fixed laboratory schedule.
睡眠時間錯位(MSFsc與熄燈時間的差異)是預測客觀睡眠品質的強效指標,錯位越大者,其入睡越困難且REM睡眠比例越低。
Sleep medicine · Home CPAP/NIV in pediatric patients: which disorders?
法國全國性調查顯示,嬰幼兒使用CPAP/NIV最常見原因為唐氏症與皮耶羅賓序列;而學齡兒童則以肥胖與OSAS為主。
Chronobiology international · Weekday and weekend sleep duration in relation to anxiety symptoms in Chinese (Pre)adolescents.
平日睡眠不足會增加青少年焦慮風險,而週末補眠無法提供保護作用,突顯了維持每日充足睡眠的重要性。
Chronobiology international · Circadian rhythms in the wild: Skin temperature versus actimetry for short-term field assessment in varying sleep conditions.
在野外實地環境下,連續三天的皮膚溫度監測比活動量監測更能準確評估日夜節律,且較不受睡眠剝奪影響。