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睡眠呼吸暂停与驾驶。解读西班牙驾驶员法规的建议。

Sleep Apnea and Driving. Recommendations for Interpreting Spanish Regulations for Drivers.

作者信息

Terán-Santos Joaquín, Egea Santaolalla Carlos, Montserrat Jose María, Masa Jiménez Fernando, Librada Escribano Maria Villar, Mirabet Enrique, Valdés Rodríguez Elena

机构信息

Unidad de Sueño, Hospital Universitario de Burgos. CIBERES, Burgos, España.

Unidad de Sueño, Hospital Txagorritxu. CIBERES, Vitoria/Gasteiz, España.

出版信息

Arch Bronconeumol. 2017 Jun;53(6):336-341. doi: 10.1016/j.arbres.2016.11.007. Epub 2016 Dec 27.

DOI:10.1016/j.arbres.2016.11.007
PMID:28038795
Abstract

Road traffic accidents are one of the main causes of death worldwide and are clearly associated with sleepiness. Individuals with undiagnosed sleep apnea-hypopnea syndrome (SAHS) are among the population with a high risk of experiencing sleepiness at the wheel and, consequently, road traffic accidents. Treatment with continuous positive airway pressure (CPAP) has been shown to reduce the risk of accidents among drivers with SAHS. For this reason, the European Union has included this disease in the psychological and physical criteria for obtaining or renewing a driving license. To comply with this European Directive, Spain has updated its driving laws accordingly. To facilitate the implementation of the new regulations, a group of experts from various medical societies and institutions has prepared these guidelines that include questionnaires to screen for SAHS, diagnostic and therapeutic criteria, and physician's report templates.

摘要

道路交通事故是全球主要死因之一,且显然与嗜睡有关。未被诊断出患有睡眠呼吸暂停低通气综合征(SAHS)的个体属于驾车时嗜睡风险较高的人群,因此也面临道路交通事故风险。持续气道正压通气(CPAP)治疗已被证明可降低SAHS患者驾车时发生事故的风险。出于这个原因,欧盟已将这种疾病纳入获取或更新驾驶执照的心理和身体标准中。为遵守这项欧盟指令,西班牙相应地更新了其驾驶法规。为便于新法规的实施,来自多个医学协会和机构的一组专家制定了这些指南,其中包括用于筛查SAHS的问卷、诊断和治疗标准以及医生报告模板。

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