在成年人中进行阻塞性睡眠呼吸暂停的查:美国预防服务工作组建议声明
, Kirsten Bibbins-Domingo1, David C Grossman2
1University of California, San Francisco.
JAMA
|January 25, 2017
概括
目前的证据不足以确定对无症状成年人的阻塞性睡眠呼吸暂停 (OSA) 查的益处和危害. 需要进一步的研究来评估OSA查对健康的净影响.
科学领域:
- 睡眠医学
- 预防性心脏病学
- 公共卫生
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 影响了数百万人, 由于肥胖, 患病率可能会上升.
- 严重的OSA与严重的健康问题有关,包括心血管疾病,糖尿病和死亡率.
- 目前对无症状个体的OSA查指南正在审查中.
研究的目的:
- 评估对无症状成年人进行阻塞性睡眠呼吸暂停 (OSA) 的查的证据.
- 为美国预防服务工作组 (USPSTF) 关于OSA查的新建议提供信息.
主要方法:
- 对初级保健中OSA查准确性,益处和危害的证据进行系统审查.
- 对OSA患者健康结果的治疗益处和危害的评估.
主要成果:
- 关于OSA查在无症状成年人的准确性和有效性的证据不足.
- USPSTF无法确定OSA查的好处或危害.
- OSA查的净健康益处或危害仍未确定.
结论:
- USPSTF发现没有足够的证据来评估阻塞性睡眠呼吸暂停 (OSA) 对无症状成年人的查的益处和危害.
- 一个"I"声明表明没有足够的证据来做出建议.
- 需要更多的研究来确定OSA查的价值.
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