Pulmonology Section, University Hospital of Sant Joan d'Alacant, Sant Joan d'Alacant, Spain.
Expert Rev Respir Med. 2013 Jun;7(3):259-73. doi: 10.1586/ers.13.19.
Obstructive sleep apnea (OSA) is a highly prevalent disorder associated with complications such as arterial hypertension, coronary heart disease, cerebrovascular disease and traffic accidents. Patients with untreated OSA consume more financial and healthcare resources and have higher mortality than those treated properly. The resources allocated for OSA are insufficient in some countries for such a prevalent disorder. This has given rise to a significant public health problem and a search for alternative strategies based on the ambulatory management. In the diagnostic process, portable monitors have been evaluated. Continuous positive airway pressure is the most effective treatment in OSA, but other forms of treatments have also been used (weight loss, oral appliances, surgery and so on). Ambulatory monitoring of the therapeutic modalities has been evaluated to enhance the care process and reduce costs compared with the conventional approach, without sacrificing efficiency. This review aims to highlight the most important advances in this field, analyzing the results of the main works to date, in order to assess the current situation and future research needs.
阻塞性睡眠呼吸暂停（OSA）是一种高发疾病，与动脉高血压、冠心病、脑血管病和交通事故等并发症相关。未经治疗的 OSA 患者比经过适当治疗的患者消耗更多的财务和医疗资源，死亡率更高。对于这样一种高发疾病，一些国家分配给 OSA 的资源不足。这引发了一个重大的公共卫生问题，并寻求基于门诊管理的替代策略。在诊断过程中，便携式监测仪已得到评估。持续气道正压通气是 OSA 最有效的治疗方法，但也使用了其他形式的治疗方法（减肥、口腔器械、手术等）。已经评估了治疗方式的门诊监测，以提高护理过程并降低成本，与传统方法相比，不牺牲效率。本综述旨在强调该领域的最重要进展，分析迄今为止主要工作的结果，以评估当前情况和未来的研究需求。
