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阻塞性睡眠呼吸暂停的健康相关后果:日间嗜睡、事故风险及法律层面

[Health-related consequences of obstructive sleep apnea: daytime sleepiness, accident risk and legal aspects].

作者信息

Orth M, Kotterba S

机构信息

Medizinische Klinik III, Pneumologie, Pneumologische Onkologie, Allergologie, Schlaf- und Beatmungsmedizin, Theresienkrankenhaus und St.-Hedwig-Klinik GmbH, Bassermannstr. 1, 68165, Mannheim, Deutschland.

出版信息

HNO. 2012 Apr;60(4):308-12. doi: 10.1007/s00106-012-2491-4.

Abstract

Daytime sleepiness for any reason leads to impairment of daytime performance and an increased accident rate. The consequences are an increase of illness- and accident-related costs for the health system. Obstructive sleep apnea (OSA) is one of the major reasons for increased daytime sleepiness, especially in professional drivers. The accident frequency in OSA can be significantly reduced by adequate continuous positive airway pressure (CPAP) therapy. Up till now there are no uniform legal regulations about the handling of OSAS patients or patients with daytime sleepiness due to other diseases as far as driving ability is concerned.

摘要

任何原因导致的日间嗜睡都会损害日间表现并增加事故发生率。其后果是卫生系统中与疾病和事故相关的成本增加。阻塞性睡眠呼吸暂停(OSA)是导致日间嗜睡增加的主要原因之一,尤其是在职业司机中。通过适当的持续气道正压通气(CPAP)治疗,OSA患者的事故发生率可显著降低。到目前为止,就驾驶能力而言,对于OSA患者或因其他疾病导致日间嗜睡的患者的处理,尚无统一的法律法规。

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