Text/Yangcheng Evening News All-Media Reporter Lin Qingqing
Correspondent Liao Wenbo
Mr. Zhu from Guangzhou (surname changed) ) is a 37-year-old office worker. He suddenly developed persistent numbness and weakness in his left hand and foot during work. Fortunately, he went to the 12th People’s Hospital of Guangzhou in time and found that it was a stroke (commonly known as stroke). After active treatment, symptoms improved.
Mr. Zhu is very strange, why did he have a stroke? After detailed communication and examination with the doctor, it was found that the reason was actually “snoring” in sleep!
Snoring is also a high-risk factor for stroke
Dai Jianwu, the director and deputy chief physician of the neurology department of the hospital who treated Mr. Zhu, introduced that many people thought that ” Stroke” is a “disease of the elderly” and has little to do with young people. However, there are some cases of sudden stroke in young people without common risk factors.
Dai Jianwu explained that stroke is a group of diseases that damage brain tissue due to sudden rupture of blood vessels in the brain or blockage of blood vessels that prevents blood from flowing into the brain, including ischemic and hemorrhagic strokes. Among them, ischemic stroke (cerebral infarction) accounts for 69.6%-70.8% of strokes in my country. Especially when the elderly have risk factors such as advanced age, high blood pressure, diabetes, dyslipidemia, smoking, and excessive drinking, the probability of stroke increases significantly.
However, Mr. Zhu does not have the above-mentioned risk factors for stroke. What caused Mr. Zhu’s stroke?
During the consultation, the family inadvertently mentioned: Mr. Zhu often snores when he sleeps. Is there a sleep-disordered breathing problem? By improving sleep breathing monitoring, it was finally determined that the culprit of Mr. Zhu’s stroke was obstructive sleep apnea syndrome (severe).
Who should have sleep apnea monitoring?
Dai Jianwu said that sleep apnea syndrome (SAS) is one of the common sleep-disordered breathing diseases and one of the risk factors for stroke. However, it is often ignored by patients and their families. Early detection, diagnosis, and treatment of sleep apnea syndrome are of great significance for preventing ischemic stroke and reducing the incidence of stroke.
According to the “Guidelines for Secondary Prevention of Ischemic Stroke and Transient Ischemic Attack in China (2014 Edition)”: Encourage qualified medical units to treat ischemic stroke or transient ischemic stroke. Sleep apnea monitoring in patients with blood attacks. “China Cerebrovascular Disease Primary Prevention Guidelines 2015” recommends: screening high-risk groups with sleep-disordered breathing, and polysomnography when conditions permit.
The guidelines believe that if there are any of the following conditions: snoring, obesity, mandibular retraction, high blood pressure, coronary heart disease, diabetes, daytime sleepiness, increased nocturia, etc., a sleep apnea screening test is required to check for sleep apnea syndrome.
Sleep screening instrument is an important “weapon” for clinicians to judge whether patients suffer from sleep apnea syndrome. Dai Jianwu said that the sleep screening instrument can monitor nasal airflow, blood oxygen saturation, and pulse rate indicators, and generate a diagnosis report accordingly, providing a non-invasive and portable breathing and sleep screening for stroke patients or people who want to investigate stroke risk factors. It provides more technical means for preventing the occurrence of ischemic stroke and reducing the incidence of stroke. (For more news, please pay attention to Yangcheng Pie pai.ycwb.com)