Frank-Piskorska Anna
Wojskowa Akademia Medyczna w Łodzi.
Przegl Lek. 2002;59(6):457-61.
1/3 of the contemporary population suffers from sleep disorders. Sleep related breathing disorders are very important from the clinical point of view, because they markedly contribute to high morbidity and mortality of this population. Pharyngeal and upper airway obstruction is the main cause of these disorders. Obstructive sleep apnoea (OSA) may be isolated or co-exist with different disorders of the respiratory or other systems. Prevalence of OSA is also reported in allergic diseases: allergic rhinitis, asthma and atopic dermatitis. The author presents and discusses 5 basis problems practically important from the point of view of the allergist, from the moment when his allergic patients complains of sleep disorders: 1. rough diagnosis of character of sleep and respiratory disorders; 2. their objective confirmation and severity classification; 3. etiology and differential analysis of causes; 4. patient education; 5. choice of individual therapeutic option.
当代三分之一的人口患有睡眠障碍。从临床角度来看，与睡眠相关的呼吸障碍非常重要，因为它们显著导致了这一人群的高发病率和死亡率。咽部及上呼吸道阻塞是这些障碍的主要原因。阻塞性睡眠呼吸暂停（OSA）可能单独存在，也可能与呼吸或其他系统的不同疾病共存。在过敏性疾病如过敏性鼻炎、哮喘和特应性皮炎中也有OSA患病率的报道。作者从过敏症专科医生的角度，阐述并讨论了从其过敏患者抱怨睡眠障碍那一刻起实际重要的5个基本问题：1. 睡眠和呼吸障碍特征的初步诊断；2. 它们的客观确认及严重程度分级；3. 病因及病因的鉴别分析；4. 患者教育；5. 个体化治疗方案的选择。
