Buffle C, Gex G, Younossian A B, Adler D
Départment de médicine interne, réhabilitation et gériatrie, HUG, Genève.
Rev Med Suisse. 2014 Nov 19;10(451):2214-8.
Obstructive sleep apnea (OSA) is a common condition most often characterized by daytime sleepiness. cPAP therapy is very effective in reversing symptoms. However, some patients still complain of excessive daytime sleepiness despite treatment, It is essential to document sufficient use of CPAP and to rule out the presence of residual respiratory events. Search for other underlying causes of sleepiness are then to be investigated by a detailed history together with a sleep night recording. The purpose of this article is to guide the clinician in providing comprehensive medical care for those patients.
阻塞性睡眠呼吸暂停(OSA)是一种常见病症,最常见的特征是白天嗜睡。持续气道正压通气(cPAP)疗法在逆转症状方面非常有效。然而,一些患者尽管接受了治疗仍抱怨白天过度嗜睡。记录cPAP的充分使用情况并排除残留呼吸事件的存在至关重要。然后,通过详细的病史和夜间睡眠记录来调查寻找其他导致嗜睡的潜在原因。本文的目的是指导临床医生为这些患者提供全面的医疗护理。