2020NIAN9YUE8RI，GENJUHUAWEIDAXUEYU《SHUIMIANYIXUEPINGLUN》（Sleep Medicine Reviews）FABIAODEYIXIANGXITONGXINGHUIGUYANJIU，JIEGUOXIANSHIYIBEIZHENDUANWEIZUSAIXINGSHUIMIANHUXIZANTING（OSA）DEHUANZHEKENENGHUIZENGJIACOVID-19DEBULIANGHOUGUOFENGXIAN。

　　GAIXITONGXINGHUIGUKAOCHALEJIEZHI2020NIAN6YUEYOUGUANZUSAIXINGSHUIMIANHUXIZANTINGHECOVID-19DE18XIANGYANJIU，QIZHONG8XIANGYANJIUZHUYAOYUCOVID-19DESIWANGFENGXIANYOUGUAN，10XIANGYANJIUYUSHUIMIANHUXIZANTINGDEZHENDUAN、ZHILIAOHEGUANLIYOUGUAN。SUIRANDANGSHIDUICOVID-19ZHONGZUSAIXINGSHUIMIANHUXIZANTINGDEYANJIUHENSHAO，DANYOUZHENGJUBIAOMING，XUDUODAOZHONGZHENGJIANHUSHIJIUZHENDEHUANZHEDOUYOUZUSAIXINGSHUIMIANHUXIZANTING。ZHEIXIANGYANJIUDEJIEGUOBIAOMING，XUDUOYUOSAXIANGGUANDEFENGXIANYINSUHEGONGBINGYINSU，BAOKUOFEIPANG、GAOXUEYAHETANGNIAOBING，DOUYUCOVID-19DEBULIANGJIEGUOXIANGGUAN。

　　YANJIURENYUANRENWEI，ZAIYINGGUO，GAODA85%DEZUSAIXINGSHUIMIANHUXIZANTINGJIBINGWEIBEIFAXIAN，ZHEIBIAOMINGYINGGUOMUQIANBEIZHENDUANCHUHUANYOUGAIBINGDE150WANRENKENENGZHISHIBINGSHANYIJIAO。SUIZHEFEIPANGLVHEQITAXIANGGUANFENGXIANYINSUDEZENGJIA，YANJIURENYUANHAIRENWEI，ZUSAIXINGSHUIMIANHUXIZANTINGZONGHEZHENGDEFABINGLVYEZAIZENGJIA。

　　ZUSAIXINGSHUIMIANHUXIZANTINGZONGHEZHENG（OSA）SHIYIZHONGCHANGJIANDESHUIMIANZHANGAIXINGJIBING，OSADETEDIANSHIZAISHUIMIANZHONGFANFUFAZUOBUFENHEWANQUANXINGQIDAOZUSAI，BINGYINCICHUXIANFANFUDEHUXIZANTINGHEHUXIBUZU。ZAIWOGUOHUANBINGLVYUEWEI3%～16%，NANXINGJIAONVXINGDUO，NANNVXINGBILIYUEWEI4.5∶1。ERZAIOUMEIDENGGUOJIAHUANBINGLVDA4%～56%。

　　RUJIN，OSAYICHENGWEICHENGRENFABINGHESIWANGDEYIGERIYIGONGRENDEYUANYIN，BINGYUGAOXUEYA、ZHONGFENG、XINLISHUAIJIE（HF）、FANGZHANHEGUANXINBINGDEFENGXIANZENGJIAYOUGUAN。YIXIANGDUIYINHFJIAZHONGERRUYUANDESHEXUEFENSHUJIANGDIDEHFHUANZHEDEQIANZHANXINGGUANCHAXINGDUILIEYANJIUXIANSHI，61%DEHUANZHEYOUOSA，ERRUGUOBUZHILIAO，SIWANGFENGXIANHUIZENGJIAYIBEI。MEIGUOXINZANGBINGXUEYUAN/MEIGUOXINZANGXIEHUI2017NIANZHONGDIANGENGXINJIANYI，SUOYOUNIUYUEXINZANGXIEHUIIIZHIIVJIHFHUANZHEDOUYINGZHENGSHIJINXINGSHUIMIANHUXIZANTINGSHAICHA。

　　LINCHUANGSHANGBEIZHENDUANWEIOSADEHUANZHEDUOSHUSHIYINWEIYOUTISHIZHENDUANDEZHENGZHUANGERBEIZHUANZHENJINXINGZHENDUANXINGSHUIMIANJIANCHA，ZUICHANGJIANDESHIZHONGDUHANZHENG、RIJIANSHISHUIZHENG。SHUIMIANHUXIZANTINGDELIUXINGBINGXUEYANJIUHUIFAXIAN，SUOYOUOSAHUANZHEZHONGZHIYOUYIBUFENRENHUIYOUZHEIXIEZHENGZHUANG，RENGYOUYIXIEOSAHUANZHEYINZANGZAIRENQUNZHONGWEIBEIFAXIAN。NEIDAODINAXIERENRONGYIHUANOSANI？

　　GENJUWOGUO2018NIANFABUDE《CHENGRENZUSAIXINGSHUIMIANHUXIZANTINGJICENGZHENLIAOZHINAN》，YUOSAXIANGGUANDEWEIXIANYINSUBAOKUO：

　　FEIPANG：BMICHAOGUOBIAOZHUNBMIDE20％HUOYISHANG，JIBMI≥28 kg／m2。

　　NIANLING：CHENGNIANHOUSUINIANLINGZENGZHANGHUANBINGLVZENGJIA；NVXINGJUEJINGQIHOUJIAOJUEJINGQIANHUANBINGZHEZENGDUO。

　　XINGBIE：NVXINGJUEJINGQIANFABINGLVXIANZHUDIYUNANXING，JUEJINGHOUYUNANXINGWUXIANZHUCHAYI。

　　SHANGQIDAOJIEPOUYICHANG：BAOKUOBIQIANGZUSAI、IIDUYISHANGBIANTAOTIFEIDA、RUANESONGCHI、XUANYONGCHUIGUOZHANGHUOGUOCU、YANQIANGXIAZHAI、YANBUZHONGLIU、YANQIANGNIANMOFEIHOU、SHETIFEIDA、SHEGENHOUZHUI、XIAHEHOUSUOJIXIAOHEJIXING、JINGCUDUANDENG。

　　YOUOSAJIAZUSHI。

　　ZHANGQIDALIANGYINJIUHE／HUOFUYONGZHENJING、CUIMIANHUOJIROUSONGCHILEIYAOWU。

　　ZHANGQIXIYANKEJIAZHONGOSA。

　　QITAXIANGGUANJIBING：BAOKUOJIAZHUANGXIANGONGNENGDIXIA、ZHIDUANFEIDAZHENG、XINGONGNENGBUQUAN、NAOZUZHONG、WEISHIGUANFANLIUJISHENJINGJIROUJIBINGDENG。

　　CHULEWEIXIANYINSUWAI，ZHONGDUODEZHENGZHUANGHETIZHENGDOUKEYITISHIOSA ，BAOKUOBAITIANSHISHUI、XINGHOUJINGLIWEIHUIFU、PILAOHUOSHIMIAN；YEJIANYINBIEQI、CHUANXIHUOZHIXIERXING；XIGUANXINGDAHAN、KEGUANCHADAODEHUXIZHONGDUANDENGZHENGZHUANG。TONGSHI，JUYOUYIXIAQINGKUANGDEHUANZHESHIOSAGAOWEIRENQUN：FEIPANG，NANZHIXINGGAOXUEYA，CHONGXUEXINGXINLISHUAIJIE，XINFANGZHANDONG，YEJIANXINLVSHICHANG，NAOZUZHONG，FEIDONGMAIGAOYA，ZHIYESIJI，JIANZHONGRENQUN。

　　YOUYUOSAHUIYINQISHUIMIANWENLUAN，DAOZHIJIYILIXIAJIANG，YANZHONGZHECHUXIANRENZHIGONGNENGXIAJIANG，XINGWEIYICHANG。RUGUONISHENBIANYOUYISHANGZHENGZHUANGDERENQUN，XUYAOGAODUZHONGSHI，JISHIQUYIYUANJINXINGZHUANYEPINGGUJIZHENZHI。

　　DUIYUOSADECHUBUZHENDUANFANGFA，ZHUYAOGENJUBINGSHI、TIJIAN、XUEYANGBAOHEDU(SpO2)JIANCEDENG，BINGJIEHEEpworthSHISHUILIANGBIAO(ESS)、STOP-BangWENJUANJINXINGPINGGU。

　　CHUBUPINGGUCAIYONGDEPINGFENBIAOJINGUANJIANBIAN，DANZUOYONGYOUXIAN，MUQIANZHENDUANOSADEJINBIAOZHUNFANGFASHIDUODAOSHUIMIANJIANCE（PSG）。YIBANXUYAOZHENGYE≥7 hDESHUIMIANJIANCE。YONGYUDINGYIOSAYANZHONGCHENGDUDEZHUYAOJIEGUOSHIHUXIZANTING-HUXIBUZUZHISHU（AHI），GAIZHISHUDAIBIAOLESHUIMIANZHONGHUXIDECISHU。MEIXIAOSHISHUIMIANZHONGCHUXIANDEHUXITINGZHI（HUXIZANTING）HEQILIUJIANSHAO（HUXIBUZU）CHIXUSHIJIANCHAOGUO10MIAO，DAOZHIDUANZANDESUXING（HUANXING）HUOYANGHEJIANSHAO。SUIRANYANZHONGCHENGDUDEFENJIEXIANBUTONG，DANQINGDUSHUIMIANHUXIZANTINGTONGCHANGDINGYIWEIAHI 5-15CI，ZHONGDUWEIAHI＞15-30CI，ZHONGDUWEIAHI＞30CI/XIAOSHISHUIMIAN。

　　XUYAOTIXINGDESHI，BINGBUSHISUOYOUCHUXIANDAHAN、SHISHUIDEDOUSHIOSAHUANZHE，YOUYIXIEJIBINGYEHUICHUXIANLEISIZHENGZHUANG：DANCHUNHANZHENG、FEIPANGDITONGQIZONGHEZHENG、NEIKEJIBINGHUOSHENJINGJIROUJIBINGXIANGGUANDESHUIMIANDITONGQI、ZHONGSHUXINGSHUIMIANHUXIZANTING、YINQIBAITIANSHISHUIDEJIBING（RUFAZUOXINGSHUIBING、BUNINGTUIZONGHEZHENGHEZHOUQIXINGTUIDONG）、YINQIYEJIANHUXIKUNNANDEJIBING（RUYEJIANJINGKONGFAZUO、WEISHIGUANFANLIU、ZHIQIGUANXIAOCHUAN、CHONGXUEXINGXINLISHUAIJIEHEYEJIANXINJIAOTONGFAZUODENG）。SUOYI，ZHUANYEDEPINGGUXUYAOJIAOJIZHUANYEDEYISHENG，BUKEDAYI，YEBUBIGUOYUJINGHUANG。

　　ZHILIAOOSADEMUBIAOSHIJIECHUSHUIMIANHUXIZANTING，JIUZHENGSHUIMIANQIDIYANG，GAISHANSHUIMIANJIEGOU，TIGAOSHUIMIANZHILIANGHESHENGMINGZHILIANG，JIANGDIOSADEXIANGGUANBINGFAZHENGHEBINGSILV。

　　DUIYUQINGDUOSADEZHILIAOSHOUXIANXUYAOCONGWEIXIANYINSUKONGZHI（KONGZHITIZHONG、JIEYANJIUDENG）、BINGYINZHILIAO（JIUZHENGXIANGGUANGAOFENGXIANJICHUJIBING）、TIWEIZHILIAO（CEWOWEISHUIMIAN）DENGJINXINGKONGZHI。

　　WUCHUANGQIDAOZHENGYATONGQIZHILIAO（CPAP）SHIZHONGZHONGDUCHENGRENOSAHUANZHEDESHOUXUANHECHUSHIZHILIAOFANGFA。YOUDUOXIANGYANJIUXIANSHI，CPAPBUJINNENGGAISHANOSAHUANZHEDESHENGHUOZHILIANGHESHUIMIANZHISHU，HAINENGJIANGDIBINGFAZHENGHESIWANGLVDEFENGXIAN。ZAIZHONG、ZHONGOSAHUANZHEYINGYONGHUXIJIZHILIAOHOUDESUIFANGFAXIAN，GEZHONGLINCHUANGZHENGZHUANGDOUYOUMINGXIANGAISHAN，TEBIESHIHANSHENGJIBAITIANSHISHUIXIAOSHI，SHUIMIANZHILIANGHEGONGZUOXIAOLVDADATIGAO，YUANLAINANYIYONGYAOWUKONGZHIDEGAOXUEYA、TANGNIAOBINGDEDAOLEGAISHAN。

　　CIWAI，HAIYOUKOUQIANGJIAOZHIQI、WAIKESHOUSHUDENGZHILIAOFANGFA。MUQIANSHANGWULIAOXIAOQUEQIEDEYAOWUKEYISHIYONG。

　　OSA作为一种常见病目前并未得到大众足够的重视，很多人认为只是单纯的疾病，但它却同时是很多常见疾病的诱因和危险因素之一，不可轻视。愿诸位自在呼吸，健康生活。