Division of Pulmonary and Critical Care Medicine, Center for Sleep Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Mayo Clin Proc. 2011 Jun;86(6):549-54; quiz 554-5. doi: 10.4065/mcp.2010.0810.
Obstructive sleep apnea (OSA) is a breathing disorder during sleep that has implications beyond disrupted sleep. It is increasingly recognized as an independent risk factor for cardiac, neurologic, and perioperative morbidities. Yet this disorder remains undiagnosed in a substantial portion of our population. It is imperative for all physicians to remain vigilant in identifying patients with signs and symptoms consistent with OSA. This review focuses on updates in the areas of terminology and testing, complications of untreated OSA, perioperative considerations, treatment options, and new developments in this field.
阻塞性睡眠呼吸暂停(OSA)是一种睡眠期间的呼吸障碍,其影响不仅限于睡眠中断。它越来越被认为是心脏、神经和围手术期并发症的独立危险因素。然而,这种疾病在我们的人群中仍有相当一部分未被诊断出来。所有医生都必须保持警惕,识别出有与 OSA 一致的症状和体征的患者。这篇综述重点介绍了术语和测试、未经治疗的 OSA 的并发症、围手术期考虑因素、治疗选择以及该领域的新进展等方面的更新。