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阻塞性睡眠呼吸暂停(OSA)
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夜半打鼾并非“睡得香”
Qi Lu Wan Bao· 2025-11-01 14:48
Core Insights - The article discusses the health risks associated with Obstructive Sleep Apnea (OSA), emphasizing its impact on various bodily systems and the importance of timely diagnosis and treatment [1][2]. Group 1: Health Risks of OSA - OSA can lead to complete airway collapse during sleep, causing repeated breathing interruptions and a cycle of hypoxia and awakening, which can result in multi-system damage [1]. - The cardiovascular system is particularly affected, with each apnea episode causing significant stress, leading to the release of stress hormones, vascular constriction, and increased blood pressure, which raises the risk of hypertension, coronary heart disease, and stroke [1]. - The kidneys may also suffer from repeated hypoxia, leading to a gradual decline in function due to activated abnormal endocrine pathways [2]. Group 2: Metabolic and Neurological Implications - OSA is linked to insulin resistance, type 2 diabetes, and dyslipidemia, creating a challenging "iron triangle" of metabolic disorders [2]. - Nighttime hypoxia disrupts normal glucose and lipid metabolism, making it difficult to control blood sugar and lipids, which in turn exacerbates OSA [2]. - OSA can lead to brain damage, particularly affecting the hippocampus, resulting in memory loss, attention deficits, and slower reaction times due to its sensitivity to hypoxia [2]. Group 3: High-Risk Populations and Treatment - High-risk groups for OSA include males, overweight individuals, and those with hypertension or diabetes, who may experience symptoms like persistent snoring, nighttime awakenings, and daytime sleepiness [2]. - Diagnosis can be made through sleep monitoring in hospitals or at home, with treatment options varying from oral appliances for mild to moderate cases to non-invasive ventilators or surgical options for more severe cases [2]. - Treatment should be complemented by lifestyle changes, including weight control, smoking cessation, and maintaining a regular sleep schedule, as snoring is a health warning rather than a sign of restful sleep [2].
葛均波:警惕心脏的“午夜刺客”!年轻人还有一个“隐形杀手”
Di Yi Cai Jing· 2025-09-29 10:06
Core Insights - Cardiovascular diseases are increasingly affecting younger populations, with stress and anxiety identified as significant risk factors for heart health [1][5] - Obstructive Sleep Apnea (OSA) is a rising concern, with an estimated 1.76 billion people in China affected, making it a critical health issue [1][2] - The diagnosis rate of OSA is alarmingly low, with less than 1% in China and only 20% in the U.S., highlighting the need for increased awareness and screening [4] Group 1: Cardiovascular Health - Cardiovascular diseases are the leading cause of death, with a notable increase in cases among younger individuals [1] - Emotional factors, particularly stress and anxiety, are significant contributors to cardiovascular risks in young people [5] - The theme for World Heart Day 2023 is "Rhythm Never Stops," emphasizing the importance of continuous heart health awareness [1] Group 2: Obstructive Sleep Apnea (OSA) - OSA is often misperceived as mere snoring, but it can lead to serious complications such as hypertension, with over 47% of OSA patients in China suffering from high blood pressure [2][4] - The prevalence of OSA is expected to rise, with projections indicating that the number of affected individuals in China could exceed 200 million this year [1] - Diagnosis of OSA typically involves sleep monitoring, which can be conducted in hospitals or at home using portable devices [4]
礼来减重药又一关键适应症在国内获批,中国约2亿人罹患这种疾病
Di Yi Cai Jing· 2025-07-03 08:28
Core Insights - The approval of tirzepatide (brand name: Mounjaro) by the NMPA for treating moderate to severe obstructive sleep apnea (OSA) in adults marks a significant milestone as it is the first and only prescription drug for OSA globally [1] - Clinical data from Eli Lilly indicates that adult patients receiving tirzepatide treatment experience an average weight loss of 20% and a reduction of at least 27 episodes of hypopnea or apnea per hour during sleep [1] - The prevalence of OSA in China is estimated at 23.6%, with 8.8% being moderate to severe cases, and approximately 41% of these patients are also obese [2] Company Developments - Eli Lilly has received approval for tirzepatide for two indications in the past year: type 2 diabetes and long-term weight management, with the latest approval for OSA requiring dietary control and increased physical activity [1] - The FDA approved the OSA indication for tirzepatide in December last year, and further approvals in more countries will enhance Eli Lilly's competitive position in the weight loss drug market [3] Industry Context - OSA is characterized by airway obstruction during sleep, leading to breathing interruptions, and is associated with various cardiovascular diseases [2] - The number of individuals suffering from OSA in China is projected to exceed 200 million this year, indicating a growing public health concern [2]