Diagnostic value of the Berlin questionnaire in the treatment of snoring and obstructive sleep apnea syndrome

S.E. Yaremchuk, A.H. Sabadash, V.A. Banas
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Abstract

Snoring and obstructive sleep apnea syndrome (OSAS) are common pathologies. Sleep disorders cause a daytime sleepiness, impaired concentration, and other cognitive impairments. All this can lead to fatal consequences. Unfortunately, only about 20 % of patients suffering from this pathology are identified. As a rule, patients do not know about the presence of OSAS, on the one hand, and on the other hand, they do not know which specialist they need to seek help from. Given the fact that impaired upper airway patency is one of the main causes of OSAS, most patients should be treated by an otolaryngologist. This work is aimed at improving the diagnosis of snoring and obstructive sleep apnea syndrome in screening studies. Screening for snoring and OSAS using the Berlin questionnaire as a result of this study allowed identifying 60 % more patients suffering from snoring and OSAS than in self-referral. The use of the Berlin questionnaire in all patients seeking medical care will help identify a hidden pathology and further conduct a more complete diagnosis of snoring and sleep apnea, as well as prescribe appropriate treatment.
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柏林问卷在治疗打鼾和阻塞性睡眠呼吸暂停综合征中的诊断价值
打鼾和阻塞性睡眠呼吸暂停综合症(OSAS)是常见的病症。睡眠障碍会导致白天嗜睡、注意力不集中和其他认知障碍。所有这些都可能导致致命的后果。遗憾的是,只有约 20% 的患者能被发现患有这种病症。通常,患者一方面不知道自己患有 OSAS,另一方面也不知道需要向哪位专家寻求帮助。鉴于上气道通畅性受损是导致 OSAS 的主要原因之一,大多数患者都应接受耳鼻喉科医生的治疗。这项工作旨在改进筛查研究中对打鼾和阻塞性睡眠呼吸暂停综合征的诊断。通过这项研究,使用柏林问卷对打鼾和阻塞性睡眠呼吸暂停综合症进行筛查,发现的打鼾和阻塞性睡眠呼吸暂停综合症患者比自我转诊患者多 60%。在所有就医患者中使用柏林调查问卷将有助于发现隐藏的病症,进一步对打鼾和睡眠呼吸暂停进行更全面的诊断,并给予适当的治疗。
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