阻塞性睡眠呼吸暂停致日间嗜睡诊断与治疗专家共识  

Expert consensus on the diagnosis and treatment of excessive daytime sleepiness in obstructive sleep apnea

作　　者：中华医学会呼吸病学分会 肖毅[2] Chinese Thoracic Society,Chinese Medical Association;Xiao Yi(不详;Department of Pulmonary and Critical Care Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]不详 [2]中国医学科学院北京协和医院呼吸与危重症医学科,北京100730

出　　处：《中华结核和呼吸杂志》2025年第4期304-317,共14页Chinese Journal of Tuberculosis and Respiratory Diseases

基　　金：国家自然科学基金(82370052)。

摘　　要：阻塞性睡眠呼吸暂停(OSA)是一种常见的睡眠呼吸疾病。日间嗜睡(EDS)是OSA患者常见临床表现之一,部分OSA患者经常规治疗后仍有残余EDS。EDS严重影响了患者的职业能力和生活质量,增加交通事故风险,加重社会和个人的经济负担。目前国内尚无针对OSA致EDS的诊疗规范。为此,中华医学会呼吸病学分会睡眠呼吸障碍学组专家参考国内外最新研究进展,制订本专家共识。共识针对OSA及其所致EDS的定义、流行病学、临床表现、诊断评估和治疗进行详细阐述,形成11条推荐意见,旨在提供针对OSA致EDS诊断和治疗的规范化的建议,并提高临床医生对OSA致EDS的认识。Obstructive sleep apnea(OSA)is a common sleep-disordered breathing condition.Excessive daytime sleepiness(EDS)is one of the most common clinical manifestations in patients with OSA.Some OSA patients continue to experience residual EDS despite receiving standard treatment.EDS significantly impairs patients′occupational performance and quality of life,increases the risk of traffic accidents,and is an economic burden for both society and individuals.Currently,there are no specific diagnostic or treatment guidelines for EDS in patients with OSA in China.Therefore,the Sleep Disorder Group of Chinese Thoracic Society has developed this expert consensus based on the latest domestic and international research.The consensus provides a detailed discussion on the definition,epidemiology,clinical manifestations,diagnostic approach,and treatment of EDS in OSA,with the aim of providing standardized recommendations for the diagnosis and treatment of EDS in patients with OSA and improving clinical awareness of this condition.The key recommendations are as follows.

关 键 词：诊疗规范 临床表现 阻塞性睡眠呼吸暂停 专家共识 

分 类 号：R766[医药卫生—耳鼻咽喉科]