Tikhova A V, Popov A P, Buzunov R V
Voen Med Zh. 2014 Nov;335(11):53-7.
Sleep disordered breathing is an important medical and socio-economic issue. A lot of evidence exists for the impact of sleep apnea on the pathogenesis of cardiovascular diseases, occupational injuries, as well as all-cause mortality. Detection of this type of pathology is challenging due to the complexity and high cost of the procedures. The nocturnal polysomnography was considered as a "gold standard" in the management of any sleep disorders for a long time. However, the development of technology simplified diagnostic equipment and make it possible to diagnose sleep disordered breathing in outpatient department. In this article we reviewed 3-phase approach to the diagnosis and treatment of sleep apnea. Also we describe our own cost-effective experience of implementing of screening examination for sleep apnea in outpatient clinic, using the continuous pulse oximetry monitoring.
睡眠呼吸障碍是一个重要的医学和社会经济问题。有大量证据表明睡眠呼吸暂停对心血管疾病的发病机制、职业伤害以及全因死亡率都有影响。由于检测程序复杂且成本高昂，这类病症的检测具有挑战性。长期以来，夜间多导睡眠图一直被视为管理任何睡眠障碍的“金标准”。然而，技术的发展简化了诊断设备，使得在门诊就能诊断睡眠呼吸障碍。在本文中，我们回顾了睡眠呼吸暂停诊断和治疗的三阶段方法。我们还描述了自己在门诊实施睡眠呼吸暂停筛查检查的经济有效经验，采用的是连续脉搏血氧饱和度监测。
