Olson Eric J, Park John G, Morgenthaler Timothy I
Mayo Clinic College of Medicine, Division of Pulmonary and Critical Care Medicine, Mayo Sleep Disorders Center, 200 1st Street SW, Rochester, MN 55905, USA.
Prim Care. 2005 Jun;32(2):329-59. doi: 10.1016/j.pop.2005.02.007.
OSAHS should be an expected condition in many patients encountered by primary care providers. The diagnosis may arise because of patient daytime dysfunction, partner prompting, or in the course of managing comorbidities adversely influenced by the hemodynamic, neural, humoral,and inflammatory consequences of repetitive desaturations and arousals.OSAHS should be suspected in patients who exhibit habitually loud snoring, witnessed apneas/choking/gasping during sleep, hypertension, neck circumferences of 17 inches or greater, obesity, and laterally narrowed oropharynxes. Diagnosis is established by polysomnography. CPAP is the treatment of choice for most patients. Education, follow-up, and heated humidification may help bolster compliance. Lifestyle modifications, oral appliances, and upper surgeries are additional treatment options.
阻塞性睡眠呼吸暂停低通气综合征（OSAHS）在基层医疗服务提供者接诊的许多患者中应被视为一种常见病症。诊断可能源于患者白天功能障碍、伴侣提示，或在管理因反复低氧血症和觉醒的血流动力学、神经、体液及炎症后果而受到不利影响的合并症过程中出现。对于习惯性大声打鼾、睡眠中出现呼吸暂停/窒息/喘息、高血压、颈围17英寸或更大、肥胖以及口咽侧向狭窄的患者，应怀疑患有OSAHS。通过多导睡眠图来确诊。持续气道正压通气（CPAP）是大多数患者的首选治疗方法。教育、随访及加热湿化可能有助于提高依从性。生活方式改变、口腔矫治器及上气道手术是其他治疗选择。
