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[阻塞性睡眠呼吸暂停综合征(OSAS)和发作性睡病患者驾驶适宜性评估指南]

[Guidelines for the fitness to drive assessment in people with obstructive sleep apnoea syndrome (OSAS) and narcolepsy].

作者信息

Garbarino S, Bonanni E, Ingravallo F, Mondini S, Plazzi G, Sanna A

机构信息

Commissione Sonnolenza, Sicurezza e Trasporti AIMS (Associazione Italiana Medicina del Sonno).

出版信息

G Ital Med Lav Ergon. 2011 Jul-Sep;33(3 Suppl):199-202.

Abstract

Given the prevalence of sleep disorders and sleep deprivation in modern societies, and the correlation between sleepiness and work and driving accidents, the excessive daytime sleepiness is an important issue. Although many studies showed that patients with untreated Obstructive sleep apnoea syndrome (OSAS) and narcolepsy have an higher risk for driving accidents, neither the European Community regulation nor the Italian law of the driving licence mention restrictions for these disorders. In 2010 the scientific association COMLAS (Association of legal medicine professionals of the Italian National Health Service) published the Guidelines for the examination by the Local Medical Commissions. The author presented the guidelines to assess the fitness to drive of people with OSAS or narcolepsy. The proposed criteria, set up in collaboration with the Commission "Sleepiness, Safety and Transportation" of the Italian Association of Sleep Medicine (AIMS), can be considered among the most advanced internationally.

摘要

鉴于现代社会中睡眠障碍和睡眠剥夺的普遍存在,以及嗜睡与工作及驾驶事故之间的关联,日间过度嗜睡是一个重要问题。尽管许多研究表明,未经治疗的阻塞性睡眠呼吸暂停综合征(OSAS)和发作性睡病患者发生驾驶事故的风险更高,但欧洲共同体法规和意大利驾照法均未提及对这些疾病的限制。2010年,科学协会COMLAS(意大利国家卫生服务局法医学专业人员协会)发布了地方医疗委员会检查指南。作者介绍了评估OSAS或发作性睡病患者驾驶适宜性的指南。与意大利睡眠医学协会(AIMS)的“嗜睡、安全与交通”委员会合作制定的拟议标准,可被视为国际上最先进的标准之一。

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