Sleep Apnea Syndrome (SAS) Clinical Practice Guidelines 2020

被引:9
作者
Akashiba, Tsuneto [1 ]
Inoue, Yuichi [2 ]
Uchimura, Naohisa [3 ]
Ohi, Motoharu [4 ]
Kasai, Takatoshi [5 ]
Kawana, Fusae [6 ]
Sakurai, Shigeru [7 ]
Takegami, Misa [8 ]
Tachikawa, Ryo [9 ]
Tanigawa, Takeshi [10 ]
Chiba, Shintaro [11 ]
Chin, Kazuo [12 ,13 ]
Tsuiki, Satoru [14 ]
Tonogi, Morio [15 ]
Nakamura, Hiroshi [16 ]
Nakayama, Takeo [17 ]
Narui, Koji [18 ]
Yagi, Tomoko [11 ]
Yamauchi, Motoo [19 ]
Yamashiro, Yoshihiro [20 ]
Yoshida, Masahiro [21 ]
Oga, Toru [22 ]
Tomita, Yasuhiro [17 ]
Hamada, Satoshi [23 ]
Murase, Kimihiko [24 ]
Mori, Hiroyuki [3 ]
Wada, Hiroo [2 ]
Uchiyama, Makoto [25 ]
Ogawa, Hiromasa [26 ]
Sato, Kazumichi [27 ]
Nakata, Seiichi [28 ]
Mishima, Kazuo [29 ]
Momomura, Shin-Ichi [30 ]
机构
[1] Shiki Resp Clin, Saitama, Japan
[2] Tokyo Med Univ, Dept Somnol, Tokyo, Japan
[3] Kurume Univ, Dept Neuropsychiat, Sch Med, Fukuoka, Japan
[4] Osaka Kaisei Hosp, Sleep Med Ctr, Osaka, Japan
[5] Juntendo Univ, Dept Cardiovasc Med, Grad Sch Med, Tokyo, Japan
[6] Juntendo Univ, Dept Cardiovasc Resp Sleep Med, Grad Sch Med, Tokyo, Japan
[7] Iwate Med Univ, Div Behav Sleep Med, Sch Med, Morioka, Iwate, Japan
[8] Natl Cerebral & Cardiovasc Ctr, Dept Prevent Med & Epidemiol Informat, Osaka, Japan
[9] Kobe City Med Ctr Gen Hosp, Dept Resp Med, Kobe, Hyogo, Japan
[10] Juntendo Univ, Dept Publ Hlth, Grad Sch Med, Tokyo, Japan
[11] Ota Gen Hosp, Ota Mem Sleep Ctr, Kawasaki, Kanagawa, Japan
[12] Nihon Univ Med, Dept Sleep Med & Resp Care, Div Sleep Med, Itabashi Ku, 30-1 Oyaguchikami Cho, Tokyo 1738610, Japan
[13] Kyoto Univ, Ctr Genom Med, Grad Sch Med, Dept Human Dis Genom, Kyoto, Japan
[14] Inst Neuropsychiat, Tokyo, Japan
[15] Nihon Univ, Dept Oral & Maxillofacial Surg, Sch Dent, Tokyo, Japan
[16] Nakamura Clin, Urasoe, Okinawa, Japan
[17] Kyoto Univ, Dept Hlth Informat, Sch Publ Hlth, Kyoto, Japan
[18] Toranomon Gen Hosp, Sleep Ctr, Tokyo, Japan
[19] Nara Med Univ, Dept Resp Med, Nara, Japan
[20] Uresinogaoka Samariya Bito Hosp, Ginowan, Okinawa, Japan
[21] Int Univ Hlth & Welf, Ichikawa Hosp, Dept Hemodialysis & Surg, Chiba, Japan
[22] Kawasaki Med Sch, Dept Resp Med, Okayama, Japan
[23] Kyoto Univ, Grad Sch Med, Dept Adv Med Resp Failure, Kyoto, Japan
[24] Kyoto Univ, Grad Sch Med, Dept Resp Care & Sleep Control Med, Kyoto, Japan
[25] Nihon Univ, Dept Psychiat, Sch Med, Tokyo, Japan
[26] Tohoku Univ, Dept Occupat Hlth, Grad Sch Med, Sendai, Miyagi, Japan
[27] Int Univ Hlth & Welf, Dept Dent & Oral Surg, Chiba, Japan
[28] Fujita Hlth Univ, Hosp 2, Dept Otorhinolaryngol, Sch Med, Toyoake, Aichi, Japan
[29] Akita Univ, Dept Neuropsychiat, Grad Sch Med, Akita, Japan
[30] Jichi Med Univ, Saitama Med Ctr, Div Cardiovasc Med, Saitama, Japan
关键词
Sleep apnea syndrome (SAS); Guideline; Clinical question (CQ); Continuous positive airway pressure (CPAP); POSITIVE AIRWAY PRESSURE; MANDIBULAR ADVANCEMENT DEVICES; ADAPTIVE SERVO-VENTILATION; CHEYNE-STOKES RESPIRATION; RANDOMIZED CONTROLLED-TRIAL; MOTOR-VEHICLE CRASH; QUALITY-OF-LIFE; CARDIOVASCULAR RISK-FACTORS; VISCERAL FAT ACCUMULATION; CONGESTIVE-HEART-FAILURE;
D O I
10.1007/s41105-021-00353-6
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The prevalence of sleep-disordered breathing (SDB) is reportedly very high. Among SDBs, the incidence of obstructive sleep apnea (OSA) is higher than previously believed, with patients having moderate-to-severe OSA accounting for approximately 20% of adult males and 10% of postmenopausal women not only in Western countries but also in Eastern countries, including Japan. Since 1998, when health insurance coverage became available, the number of patients using continuous positive airway pressure (CPAP) therapy for sleep apnea has increased sharply, with the number of patients about to exceed 500,000 in Japan. Although the "Guidelines for Diagnosis and Treatment of Sleep Apnea Syndrome (SAS) in Adults" was published in 2005, a new guideline was prepared to indicate the standard medical care based on the latest trends, as supervised by and in cooperation with the Japanese Respiratory Society and the "Survey and Research on Refractory Respiratory Diseases and Pulmonary Hypertension" Group, of Ministry of Health, Labor and Welfare and other related academic societies, including the Japanese Society of Sleep Research, in addition to referring to the previous guidelines. Since sleep apnea is an interdisciplinary field covering many areas, this guideline was prepared including 36 clinical questions (CQs). In the English version, therapies and managements for SAS, which were written from CQ16 to 36, were shown. The Japanese version was published in July 2020 and permitted as well as published as one of the Medical Information Network Distribution Service (Minds) clinical practice guidelines in Japan in July 2021.
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页码:5 / 37
页数:33
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