10 шишко в.и

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<p> 1. 2- : -..., .. II 26.09.2014 2. ; . 3. () , , , , -10 G47.3 - .Guilleminault C., 1978 4. (360 305 . .) . . , IV . . 5. 6. 5-7% 30 ( 4-10%). 1-2%. , , 15%. 32% 42% .Lindberg E. et. al . Am. J. Respir. Crit. Care Med. 1999. Vol. 159. P. 6024-6027Mfnn J. V. et al.. // Int. J. Epidemiol. 1997. Vol. 26. P. 381 - 386 7. - 4-6 20% ( 4-5 ) 30 % 30 10- , 40 . , 8. T 10 . ( 50% 3% ). / () - 1 . 9. &gt; 5 &lt; 15 &gt; 15 &lt; 30 &gt; 30Marshall, NS Sleep Apnea as an Independent Risk Factor for All-Cause Mortality: TheBusselton Health Study. Sleep, 2008, 31 (8) pp.10791085.Young, T t al. Sleep Disordered Breathing and Mortality: Eighteen-Year Follow-up of theWisconsin Sleep Cohort. Sleep, 2009, 31 (8) pp.10711078. 10. / - , ( , ) 11. : . 12. , , , . 13. , , . , . 2,8, 19 , 14. - , 15. (), 29 /2, 812 , Deegan, PC; McNicholas, WT. Predictive value of clinical features for the obstructive sleep apnoeasyndrome. Eur Respir J, 1996, 9 pp.117124. 3 (&gt;40/2) 60% .., .. . . 2004. - 3. .59-62 16. () , (, ) 17. - ( 30) (&gt;43 , &gt;37 ) (III-IV ) (30%) (83%) (76%) (58%) (49%) (38%) (77%) , 35, (90%) , 35, (50%) (50%) 2- (15%) 18. 50% Shepard, JW Clin Chest Med, 1992, 13 pp.437 458. ( nondipper night peaker)Suzuki M. et al. Sleep, 1996; 19:382 Hoffstein V. et al. Chest, 1992; 101:379 (83% )The Seventh Report of the Joint NationalCommittee on Prevention, Detection, Evaluation,andTreatment of High Blood Pressure: the JNC 7 report. JAMA, 2003, 289 pp.2560 2572. 19. Yaggi K., Concato J., Walter N. Obstruktive Sleep Apnea as a Risk Factor for Stroke andDeath 2005; 22: 667-89.) , , Gami A.S.,. et al. Day-night pattern of sudden death in obstructive sleep apneaN Engl J Med; 2005; 352: 1206-1214) 20. 10-19% .(13 , 15-400 , 1977-2009 ..) II . 10-11 % II . 8% 21. 50 % 49% 82% , - 2 . 22. 68% . .. . // - 2009-6. 49. .36-42 59%.Garrigue, S; Pepin, J L; Defaye, P; et al. Circulation, 2007, 115 pp.17031709. 23. , , /, - , 30%, , Shafer, H; et al. Cardiology, 1999, 92 pp.7984. ST 30% Hanly, P; et al. Am J Cardiol, 1993, 71 pp.13411345. 24. (ESS) (0-24) 1. 2. 3. ( , )4. 5. , 6. -7. 8. , 0 , 1 , 2 , 3 : 0-5, 6-8, 9-12, 13-18, 19 . 25. &gt; 29 / 2 &gt; 43 &gt; 140/90 .. &gt; 9 - . 26. 1. ().2. ().3. () ().4. ().5. .6. .7. (SaO 2 ).8. .9. .10. . 27. 1. ().2. .3. .4. (SaO 2 ).5. .6. .7. . 28. - ( SpO2) . , 29. 30. 31. . 1-2 . 30 . -. 30 . 3-4 . , . 32. - , , - - 33. , Good Night - ,, Snore Stop ( 1 . 20-30 .) 34. - , , . 35. (): - . 36. -(Continuous Positive Airway Pressure) K. Sullivan 1981 . "" , . , . 37. -(Continuous Positive Airway Pressure) 38. </p>

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