[阻塞性睡眠呼吸暂停患者的交通事故及经鼻持续气道正压通气治疗的效果]

[Traffic accidents in obstructive sleep apnea patients and effect of nasal CPAP treatment].

作者信息

Minemura H, Akashiba T, Yamamoto H, Suzuki R, Itoh D, Kurashina K, Yoshizawa T, Horie T

机构信息

First Department of Internal Medicine, Nihon University School of Medicine, Tokyo, Japan.

出版信息

Nihon Kyobu Shikkan Gakkai Zasshi. 1993 Sep;31(9):1103-8.

PMID:8255019

Abstract

We studied the traffic accident rates and daytime sleepiness in obstructive sleep apnea syndrome (OSAS) patient, and evaluated the effectiveness of long-term nasal CPAP treatment. Traffic accidents were observed in 42% of 14 male OSAS patients (46 +/- 7 years old) and near-miss accidents were also observed in 64% during the past three years. Stanford Sleepiness Scale showed 4.7 +/- 1.0, suggesting marked excessive daytime sleepiness (EDS). During NCPAP treatment for 11 +/- 9 months, no traffic and near-miss accidents were reported. After NCPAP treatment, SSS decreased to 2.0 +/- 0.8, and the score of Uchida-Kraeplin test for the evaluation of working ability increased significantly. These results suggest the improvement of EDS and working ability following NCPAP treatment. We conclude that OSAS patients have the tendency of daytime sleepiness and high traffic accidents rates, and NCPAP treatment is effective to improve such problems.

摘要

我们研究了阻塞性睡眠呼吸暂停综合征（OSAS）患者的交通事故发生率和日间嗜睡情况，并评估了长期鼻持续气道正压通气（CPAP）治疗的效果。在14名男性OSAS患者（46±7岁）中，42%的患者发生过交通事故，在过去三年中，64%的患者还发生过险些酿成事故的情况。斯坦福嗜睡量表评分为4.7±1.0，表明存在明显的日间过度嗜睡（EDS）。在进行11±9个月的鼻持续气道正压通气（NCPAP）治疗期间，未报告发生交通事故和险些酿成事故的情况。NCPAP治疗后，斯坦福嗜睡量表评分降至2.0±0.8，用于评估工作能力的内田-克莱佩林试验得分显著提高。这些结果表明，NCPAP治疗后日间过度嗜睡和工作能力得到改善。我们得出结论，OSAS患者有日间嗜睡倾向和较高的交通事故发生率，NCPAP治疗对于改善此类问题有效。