Surani Salim R
Salim R Surani, Department of Medicine, Section of Pulmonary, Critical Care and Sleep Medicine, Texas A and M University, Aransas Pass, TX 78336, United States.
World J Diabetes. 2014 Jun 15;5(3):381-4. doi: 10.4239/wjd.v5.i3.381.
Obesity, sleep apnea, diabetes and cardiovascular diseases are some of the most common diseases encountered by the worldwide population, with high social and economic burdens. Significant emphasis has been placed on obtaining blood pressure, body mass index, and placing importance on screening for signs and symptoms pointing towards cardiovascular disease. Symptoms related to sleep, or screening for sleep apnea has been overlooked by cardiac, diabetic, pulmonary and general medicine clinics despite recommendations for screening by several societies. In recent years, there is mounting data where obesity and obstructive sleep apnea sit at the epicenter and its control can lead to improvement and prevention of diabetes and cardiovascular complications. This editorial raises questions as to why obstructive sleep apnea screening should be included as yet another vital sign during patient initial inpatient or outpatient visit.
肥胖、睡眠呼吸暂停、糖尿病和心血管疾病是全球人口中最常见的一些疾病，社会和经济负担沉重。人们一直非常重视测量血压、计算体重指数，并重视筛查指向心血管疾病的体征和症状。尽管多个学会建议进行筛查，但心脏科、糖尿病科、肺科和普通内科诊所一直忽视与睡眠相关的症状或对睡眠呼吸暂停的筛查。近年来，越来越多的数据表明，肥胖和阻塞性睡眠呼吸暂停处于核心位置，对其进行控制可改善和预防糖尿病及心血管并发症。这篇社论提出了一些问题，即为何在患者初次住院或门诊就诊时，应将阻塞性睡眠呼吸暂停筛查作为另一项重要体征。
