EXCESSIVE DAYTIME SLEEPING AS A MARKER OF OBSTRUCTIVE SLEEP APNEA-HYPOPNEA SYNDROME IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

To study the frequency of excessive daytime sleepiness and its significance in the formation of obstructive sleep apnea-hypopnea syndrome (OSAHS) in 200 patients with chronic obstructive pulmonary disease, screening testing was conducted using unified techniques of the Epworth Daytime Sleepiness Assessment Scale (ESS) questionnaire and a specialized questionnaire for the primary detection of OAPS in modification A.M. Vane, T.S. Yeligulashvili (1998). The results of the study noted in 75.5% of patients with COPD the condition of excessive daytime sleepiness significantly higher among patients with stage fourth stage of COPD in men (87.6%) and in women (88.5%). A moderate or high degree of probability of drowsiness or falling asleep was noted in 43.0% of cases "when sitting passively in public places (sitting in a theater, at a meeting, etc.)", in 39.0% - "reading while sitting in an armchair", in 47.4% - "while resting in bed during the day", in 40.0% - "as a passenger in a car while driving non-stop for at least an hour on a flat road," in 41.7% - "sitting in a calm atmosphere after lunch without alcohol consumption." Among COPD patients with excessive daytime sleepiness in 57.6% of cases, there is a high probability of a clinical diagnosis of obstructive sleep apnea-hypopnea syndrome, which is often accompanied by loud night snoring (96.7%), respiratory arrest during sleep (91.4%), morning headaches or feelings of not refreshing sleep in the morning (79.5%), phenomena of nocturnal polyuria and frequent night awakenings (70.2%) and an increase in body weight over the past 3-5 years (63.0%).