수면정신생리

수면정신생리 (30권2호 30-35)

Treatment of Coexisting Obstructive Lung Disease and Obstructive Sleep Apnea

폐쇄성 폐질환과 동반된 폐쇄수면무호흡증의 치료

Sung Soo Kim, Sunmin Park

Wonju Severance Christian Hospital, Pulmonary, Allergy, and Critical Care Medicine, Yonsei University Wonju College of Medicine, Department of Internal Medicine, Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine

Abstract

Obstructive lung diseases encompass a group of chronic respiratory conditions characterized by airflow limitation. This category includes chronic obstructive pulmonary disease (COPD), asthma, and several other diseases. It is known that the likelihood of sleep-disordered breathing increases in patients with obstructive lung diseases, and vice versa. Obstructive sleep apnea, the most common sleep-disordered breathing, and COPD mutually influence each other concerning disease occurrence, symptoms, severity, and prognosis. Moreover, the coexistence of both in Overlap syndrome (OS) demonstrates a worse prognosis compared to each condition separately. Asthma also shares common risk factors with OSA, and each condition affects the severity and treatment management of the other. When treating patients with both chronic respiratory diseases and sleep-related breathing disorders, it is crucial not to focus solely on one group of conditions. Sensitively diagnosing both conditions and implementing appropriate treatments at the right time is important. Sleep Medicine and Psychophysiology 2023；30(2)：30-35

Keywords

Asthma; Chronic obstructive pulmonary disease; Obstructive sleep apnea; Overlap