中国成人失眠共病阻塞性睡眠呼吸暂停诊治指南（2024版）

侧卧睡眠能减少上呼吸道阻塞，对防治有帮助。 #生活技巧# #健康生活方式# #睡眠调整技巧# #睡眠呼吸暂停防治#

摘要： 失眠和阻塞性睡眠呼吸暂停（OSA）同时存在时称为失眠共病阻塞性睡眠呼吸暂停（COMISA）。COMISA 在一般人群中的患病率为 0.6%~19.3%，主要表现为入睡困难、易醒、早醒、睡眠质量差、睡眠中打鼾伴呼吸暂停、醒后不解乏、日间思睡、疲劳、注意力减退、记忆力受损、情绪障碍、生活质量下降，可导致多系统不良结局，增加全因死亡率。因此，对 COMISA 的诊断、鉴别诊断及规范化治疗具有重要意义。本指南由中国医师协会神经内科医师分会睡眠学组和中国医师协会睡眠医学专业委员会组织国内部分睡眠领域专家，结合国内外 COMISA 诊疗实践的现状，通过文献证据回顾，经广泛讨论后形成。本指南从流行病学、病因和危险因素、病理生理机制、临床表现、评估方法、诊断、鉴别诊断及治疗方面进行归纳和总结，为 COMISA 的诊断和治疗提供决策依据，以指导临床实践。

关键词: 失眠, 阻塞性睡眠呼吸暂停, 共病, 诊治, 指南

Abstract: When insomnia and obstructive sleep apnea（OSA）coexist，it is referred to as comorbid insomnia and sleep apnea（COMISA）. The prevalence of COMISA in the general population ranges from 0.6% to 19.3%. It is primarily characterized by difficulty falling asleep，frequent nighttime awakenings，early morning awakening，poor sleep quality，snoring or apnea during sleep，unrefreshing or nonrestorative sleep，excessive daytime sleepiness，fatigue，attention impairment，memory impairment. emotional disorders，and impaired quality of life. COMISA can lead to adverse outcomes in multiple systems and increase all-cause mortality. Therefore，it is significant to establish a guidline for the diagnosis，differential diagnosis，and standardized treatment of COMISA. The guideline was organized by the Chinese Academy Society of Sleep Medicine，Chinese Medical Doctor Association and Sleep Medicine Group，China Neurologist Association. It was formed by reviewing domestic and international COMISA diagnosis and treatment practices，through literature evidence review，and after extensive discussion. The guideline summarized the epidemiology，etiology and risk factors，pathophysiological mechanisms，clinical manifestations，assessment methods，diagnosis，differential diagnosis，and treatment studies of COMISA，providing a basis for decisionmaking in the diagnosis and treatment of COMISA　for clinician.

Key words: Insomnia, Obstructive sleep apnea, Comorbidity, Diagnosis and treatment, Guidelines

网址：中国成人失眠共病阻塞性睡眠呼吸暂停诊治指南（2024版） https://www.yuejiaxmz.com/news/view/711960

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