治疗后中枢性睡眠呼吸暂停

定义

治疗后中枢性睡眠呼吸暂停的特征是，在气道正压有效治疗阻塞性呼吸暂停（阻塞性或混合性呼吸暂停或呼吸减弱）期间，持续或出现复发性、以中枢性睡眠呼吸暂停为主的呼吸暂停（每小时超过五次）。中枢性呼吸暂停必须是主要表现（占总呼吸事件的 50%以上）。其严重程度足以导致白天嗜睡、睡眠紊乱、呼吸困难或打鼾等症状。如果其他中枢性睡眠呼吸暂停疾病（如药物或物质导致的中枢性睡眠呼吸暂停）能更好地解释呼吸努力缺失或减弱导致的气流减少或停止，则应做出该诊断以及阻塞性睡眠呼吸暂停的诊断，而不是治疗引起的中枢性睡眠呼吸暂停的诊断。 注：确诊需要基于多导睡眠呼吸监测的客观证据。

Treatment-emergent central sleep apnoea is characterised by persistence or emergence of recurrent, predominantly central sleep apnoea (more than five per hour) during effective treatment for obstructive apnoea (obstructive or mixed apnoea or hypopnea) with positive airway pressure. Central apnoeas must be the predominant finding (>50% of total respiratory events). The disturbance is sufficiently severe to cause symptoms such as daytime sleepiness, disturbed sleep, awakening with dyspnea, or snoring. If the reduction or cessation of airflow due to absent or reduced respiratory effort is better explained by another central sleep apnoea disorder (e.g., Central sleep apnoea due to a medication or substance), that diagnosis along with a diagnosis of Obstructive sleep apnoea should be given, rather than a diagnosis of treatment-emergent central sleep apnoea. Note: A definitive diagnosis requires objective evidence based on polysomnography.

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• 治疗后中枢性睡眠呼吸暂停