Sigurdson Krista, Ayas Najib T
Sleep Disorders Program, UBC Hospital, 2211 Westbrook Mall, Vancouver, BC V6T 2B5, Canada.
Can J Physiol Pharmacol. 2007 Jan;85(1):179-83. doi: 10.1139/y06-095.
Sleep deprivation and medical disorders of sleep are common in today's society and have significant public health implications. In this article, we address 3 specific issues related to the public health and safety consequences of sleep disorders. First, we review data that has linked sleep restriction to a variety of adverse physiologic and long-term health outcomes including all-cause mortality, diabetes, and cardiovascular disease. Second, we will review recent data that has demonstrated that therapy for obstructive sleep apnea (the most common respiratory disorder of sleep) is an extremely efficient use of healthcare resources (in terms of dollars spent per quality adjusted life year gained), and compares favorably with other commonly funded medical therapies. Finally, we will review data that illustrate the potential adverse patient and occupational safety impacts of the extreme work schedules of housestaff (physicians in training).
睡眠剥夺和睡眠医学紊乱在当今社会很常见，并且对公众健康有重大影响。在本文中，我们探讨与睡眠障碍对公众健康和安全影响相关的3个具体问题。首先，我们回顾将睡眠限制与各种不良生理和长期健康后果（包括全因死亡率、糖尿病和心血管疾病）联系起来的数据。其次，我们将回顾最近的数据，这些数据表明阻塞性睡眠呼吸暂停（最常见的睡眠呼吸障碍）的治疗是对医疗资源的极其有效利用（就每获得一个质量调整生命年所花费的美元而言），并且与其他常见的资助医疗疗法相比具有优势。最后，我们将回顾说明住院医师（正在接受培训的医生）极端工作时间表对患者和职业安全潜在不利影响的数据。
