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Active management of mild obstructive sleep apnoea: the evidence grows.
The Lancet Respiratory Medicine ( IF 76.2 ) Pub Date : 2019-12-02 , DOI: 10.1016/s2213-2600(19)30447-3
Walter T McNicholas 1
Affiliation  

Obstructive sleep apnoea is highly prevalent and reports indicate a prevalence for mild obstructive sleep apnoea of up to 35% in the general population. However, a lower prevalence of about 5% is reported in the general population for the clinical syndrome when sleep disordered breathing, as determined by the apnoea-hypopnoea index (AHI), is combined with relevant daytime manifestations such as excessive sleepiness. Because many patients with obstructive sleep apnoea, even in the mild category, report debilitating symptoms of sleepiness and other measures of impaired quality of life, the active management of such patients is an important clinical consideration. Personal and societal consequences of excessive sleepiness include the well documented increased risk of accidents among sleepy patients with obstructive sleep apnoea, which has led to driving licence restrictions in some jurisdictions.

中文翻译:

积极处理轻度阻塞性睡眠呼吸暂停:证据在增加。

阻塞性睡眠呼吸暂停非常普遍,有报告表明,普通人群中轻度阻塞性呼吸暂停的患病率高达35%。但是,据报告,当由呼吸暂停-低通气指数(AHI)确定的睡眠呼吸障碍与相关的白天表现(例如过度嗜睡)结合时,临床综合征的总患病率较低,约为5%。, 由于许多阻塞性睡眠呼吸暂停患者(即使是轻度睡眠呼吸暂停患者)也报告出现使人衰弱的嗜睡症状和其他影响生活质量的措施,因此积极管理此类患者是重要的临床考虑因素。过度嗜睡对个人和社会造成的后果包括,有据可查的阻塞性睡眠呼吸暂停的嗜睡患者发生事故的风险增加,这导致某些辖区的驾驶执照受到限制。
更新日期:2020-04-03
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