对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)命名的探讨  

Discussion on naming of obstructive sleep apnea syndrome

作　　者：王世泉 官群立[2] 林锡江 王欣欣[3] 孟丽群 王耀钟[3] WANG Shi-quan;GUAN Qun-li;LIN Xi-jiang;WANG Xin-xin;MENG Li-qun;WANG Yao-zhong(Department of Anesthesiology,Qingdao Stomatological Hospital Affiliated to Qingdao University.Qingdao 266001;Department of Stomatology,Affiliated Hospital of Qingdao University,Qingdao 266000;Department of Oral and Maxillofacial Surgery,Qingdao Stomatological Hospital Affiliated to Qingdao University,Qingdao 266001,Shandong Province,China)

机构地区：[1]青岛大学附属青岛市口腔医院麻醉手术科,山东青岛266001 [2]青岛大学附属医院口腔科,山东青岛266000 [3]青岛大学附属青岛市口腔医院口腔颌面外科,山东青岛266001

出　　处：《中国口腔颌面外科杂志》2021年第4期372-375,共4页China Journal of Oral and Maxillofacial Surgery

基　　金：青岛市医疗卫生重点学科建设项目(2020-2022);青岛市2019年度医药科研指导计划(2019-WJZD134)。

摘　　要：临床上早期至现今,教科书、参考书乃至各种相关文献杂志均有"阻塞性睡眠呼吸暂停综合征"这一医学术语,又名"阻塞性睡眠呼吸暂停低通气综合征",其英文缩写为OSAHS。鉴于OSAHS的命名体现不出该病的病理生理特点及其因果关系,本文提出"睡眠性上呼吸道通气不畅或梗阻-呼吸暂停综合征"(SURFOAS)这一命名,并通过与前两者的全方位比较,认为SURFOAS更能体现该病的主要病理生理特征,尤其从命名中还可明确其通气不畅与梗阻的部位。本文从SURFOAS患者上呼吸道解剖中列举出诸多异常结构的改变(论据),进而阐明睡眠与上呼吸道通气不畅或梗阻乃至呼吸暂停之间的因果关系。因此,SURFOAS的提出与命名,相比OSAHS而言,无论横向比较,还是纵向比对,均具有合理性,合乎逻辑,且符合临床疾病命名原则,对于医学基础理论指导临床实践而言,相对更加规范和标准。From early clinical stage to present,textbooks,reference books and even various related literatures and maga-zines all use the medical term"obstructive sleep apnea syndrome",also known as"obstructive sleep apnea hypopnea syn-drome",its English abbreviation is OSAHS.Since the nomenclature of OSAHS does not reflect the pathophysiological characteristics of the disease and its causal relationship,the authors here proposed the nomenclature of"sleep induced upper respiratory failure or obstructive apnea syndrome"(SURFOAS).Through all-round comparison with the former terms,it is believed that SURFOAS can better reveal the main pathophysiological characteristics of the disease,especially from the nomenclature,the location of the obstructed ventilation and obstruction can be clearly identified.Moreover,this article listed many abnormal structural changes(arguments)from the anatomy of the upper respiratory tract of patients with SURFOAS,and further demonstrated the causal relationship between sleep and upper respiratory tract ventilation obstruc-tion or even apnea.Therefore,the proposal and naming of SURFOAS are reasonable and logical in comparison with OSAHS,regardless of horizontal comparison or vertical comparison,and conform to the naming principle of clinical medical diseases,which is relatively more practical for guiding clinical work with basic medical theories.

关 键 词：睡眠 上呼吸道 通气不畅 梗阻 呼吸暂停 

分 类 号：R782.2[医药卫生—口腔医学]