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阻塞性睡眠呼吸暂停合并症的管理:我们能从其他疾病中学到什么?

Managing Comorbid Illness in Obstructive Sleep Apnea: What Can We Learn from Other Diseases?

作者信息

Conwell Walter D, Tsai Sheila C

机构信息

Department of Medicine, University of Colorado Denver School of Medicine, 13001 East 17th Place, Aurora, CO 80045, USA.

Department of Medicine, University of Colorado Denver School of Medicine, 13001 East 17th Place, Aurora, CO 80045, USA; Department of Medicine, National Jewish Health, 1400 Jackson Street, Denver, CO 80206, USA.

出版信息

Sleep Med Clin. 2016 Sep;11(3):313-21. doi: 10.1016/j.jsmc.2016.04.007. Epub 2016 Jun 3.

Abstract

Obstructive sleep apnea (OSA) is associated with numerous comorbid medical conditions. Symptoms of OSA may mimic those of comorbid conditions. The presence of OSA may worsen outcomes from the primary condition. Conversely, OSA treatment may benefit both sleep symptomatology and comorbid illness. Because of potential significant benefit, it is important to screen for sleep apnea symptoms, to have a low threshold to perform diagnostic testing, to treat OSA if present, and to closely monitor symptoms. OSA management does not necessarily replace, but rather, should be performed in conjunction with primary therapy for comorbid conditions.

摘要

阻塞性睡眠呼吸暂停(OSA)与多种合并症相关。OSA的症状可能与合并症的症状相似。OSA的存在可能会使原发疾病的预后恶化。相反,OSA治疗可能对睡眠症状和合并症都有益处。由于潜在的显著益处,筛查睡眠呼吸暂停症状、对进行诊断测试保持较低阈值、如果存在OSA则进行治疗以及密切监测症状非常重要。OSA的管理不一定取代,而是应该与合并症的主要治疗同时进行。

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