成年人的阻塞性睡眠呼吸暂停查:美国预防服务工作组建议声明
, Carol M Mangione1, Michael J Barry2
1University of California, Los Angeles.
JAMA
|November 15, 2022
概括
目前的证据不足以确定成年人的阻塞性睡眠呼吸暂停 (OSA) 查的益处和危害. 需要更多的研究来建立有效的查策略.
科学领域:
- 睡眠医学
- 预防健康
- 临床指南
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 影响了相当一部分成年人群,估计男性的患病率为14%,女性的患病率为5%.
- 严重的OSA与增加的死亡率和其他严重的健康问题有关,包括心血管疾病,2型糖尿病和认知障碍.
研究的目的:
- 为了更新2017年的建议,美国预防服务工作组 (USPSTF) 进行了系统审查.
- 该审查旨在评估成年人对OSA查的益处和危害.
主要方法:
- 一个系统的审查是由USPSTF委托.
- 该审查集中在18岁及以上的成年人,包括无症状和未被识别的OSA症状的个体.
主要成果:
- 美国公共卫生检查委员会发现,对普通成年人进行OSA查的益处和危害没有足够的证据.
- 目前的证据基础不支持或反驳阻塞性睡眠呼吸暂停的查.
结论:
- USPSTF的结论是,没有足够的证据来确定成年人查阻塞性睡眠呼吸暂停的益处和危害.
- 需要进一步的研究来为OSA查提供建议.
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