期刊
SLEEP MEDICINE CLINICS
卷 12, 期 3, 页码 369-+出版社
ELSEVIER INC
DOI: 10.1016/j.jsmc.2017.03.010
关键词
Sleep disorders; Sleep apnea; Excessive daytime sleepiness; Persistent sleepiness; Hypersomnolence; Hypersomnia; Therapy; Treatment resistance
Sleep-related breathing disorders include obstructive sleep apnea (OSA), central sleep apnea, sleep-related hypoventilation, and sleep-related hypoxemia. Excessive daytime sleepiness (EDS) is frequently reported by patients with OSA but is not invariably present. The efficacy of positive airway pressure therapy in improving EDS is well established for OSA, but effectiveness is limited by suboptimal adherence. Non-OSA causes of sleepiness should be identified and treated before initiating pharmacotherapy for persistent sleepiness despite adequately treated OSA. Further research on the identification of factors that promote EDS in the setting of OSA is needed to aid in the development of better treatment options.
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