Cambron L, Roelants F, Deflandre E, Raskin S, Poirrier R
Centre du Sommeil, Service de Neurologie, CHU de Liège.
Rev Med Liege. 2004 Jan;59(1):19-28.
Since two decades, sleep breathing disorders are more wisely recognized by the Belgian medical community. Among these, the Obstructive Sleep Apnea Syndrome (OSA) is the best known but its frontiers with others syndromes such as the Upper Airway Resistance Syndrome (UARS), the Central Sleep Apnea Syndrome (CSAS) or the Overlap Syndrome are still matter of discussion. Its causes are plurifactorial, and many recent publications draw the attention to its long term effects in the cardiovascular and neuropsychiatric fields. This article summarizes the present definitions and features associated with OSA, from clinical and neurophysiological perspectives, and the different consequences to which untreated or underdiagnosed patients are exposed.
二十年来,比利时医学界对睡眠呼吸障碍有了更明智的认识。其中,阻塞性睡眠呼吸暂停综合征(OSA)最为人所知,但其与其他综合征,如气道阻力综合征(UARS)、中枢性睡眠呼吸暂停综合征(CSAS)或重叠综合征的界限仍存在争议。其病因是多因素的,最近许多出版物都提请人们注意其在心血管和神经精神领域的长期影响。本文从临床和神经生理学角度总结了与阻塞性睡眠呼吸暂停综合征相关的当前定义和特征,以及未经治疗或诊断不足的患者所面临的不同后果。