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远程医疗在睡眠呼吸暂停诊断和治疗中的应用。

Telemedicine in the diagnosis and treatment of sleep apnoea.

机构信息

Dept of Pneumology, CHU Saint Pierre, Université Libre de Bruxelles, Brussels, Belgium

出版信息

Eur Respir Rev. 2019 Mar 14;28(151). doi: 10.1183/16000617.0093-2018. Print 2019 Mar 31.

Abstract

Telemedicine (TM) is a current tool in the landscape of medicine. It helps to address public health challenges such as increases in chronic disease in an ageing society and the associated burden in healthcare costs. Sleep TM refers to patient data exchange with the purpose of enhancing disease management. Obstructive sleep apnoea (OSA) syndrome is a chronic disorder associated with a significant morbidity, mainly cardiometabolic, and mortality. Obtaining adequate compliance to continuous positive airway pressure (CPAP) remains the greatest challenge related to OSA treatment, and the adoption of TM to support OSA management makes sense. In addition, the prevalence of OSA is growing and OSA is associated with increased healthcare costs that could be streamlined by the application of TM. In OSA, multiple modalities of TM are utilised, such as telediagnostics, teleconsultation, teletherapy and telemonitoring of patients being treated with CPAP. In the present article, I aim to provide an overview of current practice and the recent developments in TM for OSA management. Concerns related to TM use will also be addressed.

摘要

远程医疗(TM)是医学领域的一种现有工具。它有助于应对公共卫生挑战,如老龄化社会中慢性病的增加以及由此带来的医疗保健成本负担。睡眠 TM 是指为了加强疾病管理而进行的患者数据交换。阻塞性睡眠呼吸暂停(OSA)综合征是一种与重大发病率相关的慢性疾病,主要是心血管代谢和死亡率。获得足够的持续气道正压通气(CPAP)依从性仍然是 OSA 治疗相关的最大挑战,采用 TM 来支持 OSA 管理是有意义的。此外,OSA 的患病率正在增加,OSA 与增加的医疗保健成本相关,这些成本可以通过 TM 的应用得到简化。在 OSA 中,多种 TM 模式被利用,如远程诊断、远程咨询、远程治疗和接受 CPAP 治疗的患者的远程监测。在本文中,我旨在概述 OSA 管理中 TM 的当前实践和最新进展。还将讨论与 TM 使用相关的问题。

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