重度OSAHS合并失眠1例并文献复习

A case of severe obstructive sleep apnea-hypopnea syndrome accompanied insomnia and the literature review

目的探讨重度OSAHS与失眠之间的关系。方法对主诉为重度失眠3年余人院的72岁老年女性，行多导睡眠呼吸监测，提示重度OSAHS、睡眠维持障碍。给予持续正压通气联合认知疗法，并同时逐步减少失眠药物等治疗半年。结果患者失眠症状消失，多导睡眠监测显示睡眠结构恢复正常。结论OSAHS与失眠常合并存在，失眠不仅掩盖OSAHS症状，造成漏诊，而且可降低持续气道正压治疗的依从性。

Objectlve To evaluate the relationship between severe obstructive sleep apnea-hypopnea syndrom （OSAHS） and insomnia. Methods A chief complaint for severe insomnia in hospital more than three years, polysomnography show that, severe OSAHS, maintaining sleep disorders. Given continuous positive airway pressure joint cognitive therapy, and gradually reduce the insomnia drug for six months. Results The patients insomnia symptoms disappeared and the sleep structure returned to normal. Conclusions Insomnia, not only can mask OSAHS symptoms, causing misdiagnosis, and can reduce the adherence of continuous positive airway pressure treatment.