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慢性肺病合并阻塞性睡眠呼吸暂停的管理可改善呼吸困难和生活质量。

Dyspnea and Quality of Life Improvements with Management of Comorbid Obstructive Sleep Apnea in Chronic Lung Disease.

机构信息

Division of Pulmonary, Critical Care, and Sleep Medicine, University of Miami, Miller School of Medicine.

Division of Pulmonary, Critical Care, and Sleep Medicine, University of Miami, Miller School of Medicine.

出版信息

Sleep Med Clin. 2024 Jun;19(2):371-378. doi: 10.1016/j.jsmc.2024.02.013.

Abstract

Obstructive sleep apnea (OSA) has emerged as a significant and prevalent comorbidity associated with chronic lung diseases, including chronic obstructive pulmonary disease, asthma, and interstitial lung diseases. These overlap syndromes are associated with worse patient-reported outcomes (sleep quality, quality of life measures, mental health) than each condition independently. Observational studies suggest that patients with overlap syndrome who are adherent to positive airway pressure therapy report improved quality of life, sleep quality, depression, and daytime symptoms. Screening for and management of OSA in patients with overlap syndrome should emphasize the interconnected nature of these 2 conditions and the positive impact that OSA management can have on patients' well-being and overall health.

摘要

阻塞性睡眠呼吸暂停(OSA)已成为与慢性肺部疾病相关的一种重要且普遍的合并症,包括慢性阻塞性肺疾病、哮喘和间质性肺疾病。这些重叠综合征与每个疾病独立存在时相比,患者报告的结局(睡眠质量、生活质量测量、心理健康)更差。观察性研究表明,对重叠综合征患者坚持使用气道正压治疗的患者报告生活质量、睡眠质量、抑郁和日间症状得到改善。在重叠综合征患者中筛查和管理 OSA 时,应强调这两种疾病的相互关联性质,以及 OSA 管理对患者福祉和整体健康的积极影响。

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