Augelli Dianne M, Krieger Ana C
Department of Medicine, Center for Sleep Medicine, Weill Cornell Medical College, Cornell University, 425 East 61st Street, 5th Floor, New York, NY 10065, USA.
Department of Medicine, Center for Sleep Medicine, Weill Cornell Medical College, Cornell University, 425 East 61st Street, 5th Floor, New York, NY 10065, USA.
Sleep Med Clin. 2017 Mar;12(1):87-98. doi: 10.1016/j.jsmc.2016.10.010. Epub 2016 Dec 23.
Hypoventilation during sleep is often an early indicator of the development of respiratory failure. Alterations in ventilation are more pronounced during sleep and often present before the onset of daytime symptoms. This article discusses the most common sleep-related hypoventilatory disorders and recommended treatment approaches for obesity hypoventilation, chronic obstructive pulmonary disease, and neuromuscular disorders. Accurate diagnosis and appropriate treatment is of paramount importance because of the impact on individual health outcomes and overall cost of health care delivery. Appropriate treatment is successful at reducing hospitalizations and health care costs as well as improving quality of life and individual economic burden.
睡眠期间的通气不足往往是呼吸衰竭发展的早期指标。通气变化在睡眠期间更为明显，且通常在白天症状出现之前就已存在。本文讨论了最常见的与睡眠相关的通气不足障碍，以及针对肥胖低通气、慢性阻塞性肺疾病和神经肌肉疾病的推荐治疗方法。由于对个体健康结果和医疗保健总体成本的影响，准确诊断和适当治疗至关重要。适当的治疗在减少住院次数和医疗保健成本、改善生活质量以及减轻个人经济负担方面是成功的。
