Salas Rachel E, Chakravarthy Rohini, Sher Alex, Gamaldo Charlene E
Neuro-Sleep Division, Johns Hopkins University School of Medicine, Baltimore, MD.
Neurol Clin Pract. 2014 Feb;4(1):44-52. doi: 10.1212/01.CPJ.0000442583.87327.5d.
Recognizing and treating sleep-disordered breathing (SDB) is essential in delivering neurologic care due to its association with a growing list of neurologic conditions (e.g., stroke, neurodegenerative disorders). Thus, increased proficiency in the recognition and management of SDB is likely to result in better outcomes, care, and utilization of health care resources. To date, continuous positive airway pressure remains the gold standard for patients with moderate to severe obstructive sleep apnea and has been shown to be effective in treating variations of SDB. Appropriate application of new methods and technology such as home sleep testing can help bridge the gap between the need and supply for sleep health care and delivery. Increased focus on efficacious strategies to further awareness and education for patients, caretakers, and providers is paramount to long-term adherence to treatment.
认识和治疗睡眠呼吸障碍（SDB）对于提供神经科护理至关重要，因为它与越来越多的神经疾病（如中风、神经退行性疾病）相关。因此，提高对SDB的识别和管理能力可能会带来更好的治疗效果、护理质量以及医疗资源的利用效率。迄今为止，持续气道正压通气仍然是中重度阻塞性睡眠呼吸暂停患者的金标准，并且已被证明对治疗各种SDB有效。适当应用新方法和技术，如家庭睡眠测试，有助于弥合睡眠保健需求与供给之间的差距。加大对有效策略的关注，以进一步提高患者、护理人员和医疗服务提供者的认识和教育，对于长期坚持治疗至关重要。
