阻塞性睡眠呼吸暂停的患病率和对出租车司机的CPAP的坚持
Yik Hin Chan1, Anastasya Maria Kosasih1, Venetia Kok2
1Department of Cardiology, National University Heart Centre, 1 E Kent Ridge Road, NUHS Tower Block Level 9, Singapore 119228, Singapore.
Clocks & sleep
|January 21, 2026
概括
阻塞性睡眠呼吸暂停 (OSA) 在老年出租车司机中很常见. 持续的正气道压力 (CPAP) 治疗没有显著改善血压或警在这个试点研究中,由于次优的坚持.
科学领域:
- 睡眠医学 睡眠医学
- 心脏病学 心脏病学
- 职业健康 职业健康 职业健康
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 在商业司机中很普遍,可能会影响健康和安全.
- 老年人和那些像出租车司机这样要求很高的职业的人可能面临更高的风险.
- 在这个人群中,OSA对血压 (BP) 和警的影响需要进一步研究.
研究的目的:
- 调查持续正气道压力 (CPAP) 治疗对60岁及以上被诊断患有OSA的出租车司机血压和警的影响.
- 评估CPAP在这个特定职业群体中的坚持率.
主要方法:
- 试点研究涉及年龄≥60岁的出租车司机接受多睡眠图.
- 被诊断为OSA的参与者接受了6个月的CPAP治疗.
- 评估包括24小时门诊血压监测 (ABPM) 和精神运动警测试 (PVT) 在基线和随访.
主要成果:
- 在32名参与者中发现OSA的高患病率 (68.8%).
- 平均CPAP的坚持在每晚3.1±2.3小时时低于最佳水平.
- 在CPAP治疗后,没有观察到24小时平均缩BP或PVT反应时间的显著改善.
结论:
- 在老年出租车司机中,OSA非常普遍.
- 在这个群体中,低于最佳的CPAP坚持限制了其在改善BP和警方面的有效性.
- 需要进一步的研究来提高CPAP的坚持,并探索在专业驾驶员中对OSA的替代干预措施.
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