一项探索性研究评估了在阻塞性睡眠呼吸暂停综合征患者和对照组中驾驶时应对策略的使用
Akshay Dwarakanath1,2, Vinod Palissery1, Dipansu Ghosh1
1St James's University Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
ERJ open research
|January 23, 2024
概括
阻塞性睡眠呼吸暂停 (OSA) 患者经常使用应对策略来对抗嗜睡,这可能表明驾驶事故的风险更高. 识别这些策略可以帮助临床医生识别有风险的OSA患者,提供适当的建议.
科学领域:
- 睡眠医学 睡眠医学
- 道路交通安全 道路交通安全
- 行为科学 行为科学
背景情况:
- 驾驶时的昏昏欲睡会带来很大的风险.
- 司机有时会采取对策,以保持警觉.
- 阻塞性睡眠呼吸暂停综合征 (OSAS) 是一种在睡眠期间重复阻塞呼吸道,导致昏昏欲睡的情况.
研究的目的:
- 调查阻断性睡眠呼吸暂停综合征 (OSAS) 患者用来对抗嗜睡的应对策略.
- 为了比较OSAS患者和对照人群之间使用这些策略的情况.
- 为了将策略使用与一般嗜睡 (ESS),驾驶嗜睡 (DSS) 和驾驶事故相关联.
主要方法:
- 对119名未经治疗的OSAS患者和105名对照患者进行了问卷调查.
- 该问卷评估了过去一年的一般睡眠,驾驶睡眠,应对策略和驾驶事故.
- 参与者根据年龄和驾驶经验进行了匹配.
主要成果:
- 近三分之一的OSAS患者 (29.4%) 经常使用超过三种应对策略.
- 使用>3个策略的OSAS患者报告说,一般睡眠 (ESS) 和驾驶睡眠 (DSS) 的情况更差.
- 使用>3种策略的OSAS患者中,报告事故的比例显著更高 (22.85%与2.38%).
结论:
- 未经治疗的OSAS患者经常使用应对策略作为潜在的嗜睡标志物.
- 询问这些策略可以帮助临床医生识别有驾驶事故风险的OSAS患者.
- 这种识别允许及时提供临床咨询和干预.
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