Esteller Eduard, Huerta Paula, Segarra Francesc, Matiñó Eusebi, Enrique Anna, Ademà J M
Servicio de Otorrinolaringología, Hospital General de Catalunya, San Cugat del Vallès, Barcelona, España.
Acta Otorrinolaringol Esp. 2008 Feb;59(2):62-9.
In Spain there are around 2 million people with obstructive sleep apnoea syndrome who should be treated. However, less than 10 % have been diagnosed and treated. Untreated patients are associated with a higher risk of cardiovascular and neurological complications, higher accident rates, reduced quality of life and greater health-care consumption. It is necessary, therefore, to reduce these consequences through early diagnosis and treatment.
To demonstrate the usefulness of a simple series of questions and examination as a mechanism to detect patients with undiagnosed obstructive sleep apnoea syndrome, in a consultation with a general otorhinolaryngologist.
Five hundred two consecutive patients coming to an otorhinolaryngological consultation for reasons other than sleep pathology were submitted to a series of questions and an examination of upper aerodigestive tract, to search for indications of suspected sleep apnoea. For the different clinical and anatomical comparisons, a control group of 178 consecutive already-diagnosed patients was used.
Of the 502 cases, 74 (14.7%) fulfilled the requirements for suspicion and 35 of them agreed to take a polysomnograph test (47.29%). Of this group, an apnoea/ hypopnoea index greater than 5 was found in 24 of the 35 cases (4.78%).
The prevalence of obstructive sleep apnoea in the group of patients studied is greater than that of the general population. With a simple interview and physical examination, a high rate of success can be obtained in the detection of undiagnosed sleep apnoea cases.
在西班牙，约有200万人患有阻塞性睡眠呼吸暂停综合征，需要接受治疗。然而，只有不到10%的患者得到了诊断和治疗。未经治疗的患者发生心血管和神经并发症的风险更高，事故发生率更高，生活质量下降，医疗保健消费增加。因此，有必要通过早期诊断和治疗来减少这些后果。
在普通耳鼻喉科医生的会诊中，证明一系列简单的问题和检查作为检测未确诊阻塞性睡眠呼吸暂停综合征患者的一种机制的有效性。
502例因睡眠病理以外的原因前来耳鼻喉科会诊的连续患者接受了一系列问题询问和上呼吸道消化道检查，以寻找疑似睡眠呼吸暂停的迹象。为进行不同的临床和解剖学比较，使用了178例连续已确诊患者组成的对照组。
在502例病例中，74例（14.7%）符合疑似标准，其中35例同意进行多导睡眠图测试（47.29%）。在这一组中，35例中有24例（4.78%）的呼吸暂停/低通气指数大于5。
在所研究的患者群体中，阻塞性睡眠呼吸暂停的患病率高于一般人群。通过简单的问诊和体格检查，可以在检测未确诊的睡眠呼吸暂停病例方面取得很高的成功率。
