AUTOMOBILE ACCIDENTS IN PATIENTS WITH SLEEP DISORDERS
AUTOMOBILE ACCIDENTS IN PATIENTS WITH SLEEP DISORDERS
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DOI：
10.1093/sleep/12.6.487
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发表时间：
1989-12-01
期刊：
影响因子：
5.6
通讯作者：
ALDRICH, MS
中科院分区：
文献类型：
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作者：
ALDRICH, MS
与睡眠有关的机动车事故对睡着的司机和路上的其他人来说都是一个严重的安全隐患。睡眠障碍可能是造成这些事故的重要因素。我们回顾了70名对照受试者和424名患有四种睡眠障碍的成年人的睡眠相关事故数据：睡眠呼吸暂停、发作性睡病、其他过度嗜睡障碍和非过度嗜睡的睡眠障碍。嗜睡患者组发生睡眠相关事故的比例是对照组的1.5-4倍。在嗜睡患者中，每年过度嗜睡的睡眠相关事故发生率为3-7%。虽然发生睡眠相关事故的患者比例在嗜睡症患者中最高，但由于呼吸暂停患者的数量更多，他们发生的睡眠相关事故也更多。在所有与睡眠有关的事故中，窒息症和嗜睡症占71%。重度呼吸暂停患者发生睡眠相关事故的比例几乎是轻度或中度呼吸暂停患者的两倍。多次睡眠潜伏期试验的平均睡眠潜伏期在事故患者和非事故患者中无显著差异。患有各种睡眠障碍的患者发生睡眠相关事故的风险似乎增加了。睡眠过度的严重程度和持续时间可能不是导致这种风险的唯一因素。这些发现对睡眠障碍患者的管理具有启示意义。
Sleep-related motor vehicle accidents are a serious safety hazard both for the driver who falls asleep and for others on the road. Sleep disorders may be significant contributing factor in some of these accidents. We reviewed data on sleep-related accidents from 70 control subjects and 424 adults with four categories of sleep disorders: sleep apnea, narcolepsy, other disorders of excessive sleepiness, and sleep disorders without excessive sleepiness. The proportion of individuals with sleep-related accidents was 1.5-4 times greater in the hypersomnolent patient groups than in the control group. In patients with hypersomnia, the incidence of sleep-related accidents per year of excessive sleepiness was 3-7%. Although the proportion of patients with sleep-related accidents was highest in narcoleptics, apneics were involved in more sleep-related accidents because of their greater number. Apneics and narcoleptics accounted for 71% of all sleep-related accidents. The proportion of severe apneics who had sleep-related accidents was almost twice that of patients with mild or moderate apnea. Mean sleep latency by Multiple Sleep Latency Test did not differ significantly in patients with accidents and those without. Patients with a wide variety of sleep disorders appear to be at increased risk for sleep-related accidents. The severity and duration of hypersomnia are probably not the only factors that contribute to that risk. These findings have implications for the management of patients with sleep disorders.