References

medsovet

Медицинский Совет

Meditsinskiy sovet = Medical Council

2079-701X2658-5790

REMEDIUM GROUP Ltd.

10.21518/ms2025-123

medsovet-9191

Research Article

ХРОНИЧЕСКИЕ ЗАБОЛЕВАНИЯ ЛЕГКИХ

CHRONIC PULMONARY DISEASES

Синдром обструктивного апноэ сна в сочетании с бронхиальной астмой и хронической обструктивной болезнью легких

Obstructive sleep apnea in combination with bronchial asthma and chronic obstructive pulmonary disease

https://orcid.org/0000-0002-5804-8643

Мукатова

И. Ю.

Mukatova

I. Yu.

Мукатова Ирина Юрьевна, д.м.н., профессор, профессор кафедры внутренних болезней с курсом нефрологии, гематологии, аллергологии, иммунологии

010000, Астана, ул. Бейбитшилик, д. 49а

Irina Yu. Mukatova, Dr. Sci. (Med.), Professor, Professor of the Department of Internal Illnesses with a Course of Nephrology, Hematology, Allergology, Immunology

49a, Beybitshilik St., Astana, 010000

kozlovapulm@gmail.com

Белевский

А. С.

Belevskiy

A. S.

Белевский Андрей Станиславович, д.м.н., профессор, заведующий кафедрой пульмонологии факультета дополнительного профессионального образования

117997, Москва, ул. Островитянова, д. 1

Andrey S. Belevskiy, Dr. Sci. (Med.), Professor, Head of the Department of Pulmonology, Faculty of Additional Professional Education

1, Ostrovityanov St., Moscow, 117997

pulmobas@yandex.ru

https://orcid.org/0009-0002-7864-2399

Серикова

А. С.

Serikova

A. S.

Серикова Аурини Сериковна, PhD кафедры внутренних болезней с курсом нефрологии, гематологии, аллергологии, иммунологии

010000, Астана, ул. Бейбитшилик, д. 49а

Aurini S. Serikova, PhD of the Department of Internal Illnesses with a Course of Nephrology, Hematology, Allergology, Immunology

49a, Beybitshilik St., Astana, 010000

auriniserikova@gmail.com

https://orcid.org/0000-0002-4726-4906

Нуралиева

Г. С.

Nuralieva

G. S.

Нуралиева Галиа Сериковна, к.м.н., доцент кафедры пульмонологии, Первый Московский государственный медицинский университет имени И.М. Сеченова (Сеченовский Университет); научный сотрудник лаборатории интенсивной терапии и дыхательной недостаточности, Научно-исследовательский институт пульмонологии Федерального медико-биологического агентства

119991, Москва, ул. Трубецкая, д. 8, стр. 2,

115682, Москва, Ореховый бульвар, д. 28

Galiya S. Nuralieva, Cand. Sci. (Med.), Associate Professor of the Department of Pulmonology, Sechenov First Moscow State Medical University (Sechenov University); Researcher, Laboratory of Intensive Therapy and Respiratory Failure, Research Institute for Pulmonology of the Federal Medical Biological Agency

8, Bldg. 2, Trubetskaya St., Moscow, 119991,

8, Orekhovy Boulevard, Moscow, 115682

galia32@yandex.ru

https://orcid.org/0000-0002-5999-2150

Авдеев

С. Н.

Avdeev

S. N.

Авдеев Сергей Николаевич, академик РАН, д.м.н., профессор, заведующий кафедрой пульмонологии, Первый Московский государственный медицинский университет имени И.М. Сеченова (Сеченовский Университет); руководитель клинического отдела, Научно-исследовательский институт пульмонологии Федерального медико-биологического агентства

119991, Москва, ул. Трубецкая, д. 8, стр. 2,

115682, Москва, Ореховый бульвар, д. 28

Sergey N. Avdeev, Acad. RAS, Dr. Sci. (Med.), Professor, Head of Department of Pulmonology, Sechenov First Moscow State Medical University (Sechenov University); Head of the Clinical Department, Research Institute for Pulmonology of the Federal Medical Biological Agency

8, Bldg. 2, Trubetskaya St., Moscow, 119991,

8, Orekhovy Boulevard, Moscow, 115682

serg_avdeev@list.ru

Медицинский университет АстанаКазахстанAstana Medical UniversityKazakhstan

Российский национальный исследовательский медицинский университет имени Н.И. ПироговаРоссияPirogov Russian National Research Medical UniversityRussian Federation

Первый Московский государственный медицинский университет имени И.М. Сеченова (Сеченовский Университет); Научно-исследовательский институт пульмонологии Федерального медико-биологического агентстваРоссияSechenov First Moscow State Medical University (Sechenov University); Research Institute for Pulmonology of the Federal Medical Biological AgencyRussian Federation

2025

22062025

093035

2025

Мукатова И.Ю., Белевский А.С., Серикова А.С., Нуралиева Г.С., Авдеев С.Н.

Mukatova I.Y., Belevskiy A.S., Serikova A.S., Nuralieva G.S., Avdeev S.N.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.med-sovet.pro/jour/article/view/9191

Синдром обструктивного апноэ сна (СОАС) – это состояние, характеризующееся наличием храпа, периодическим спадением верхних дыхательных путей на уровне глотки и прекращением легочной вентиляции при сохраняющихся дыхательных усилиях, снижением уровня кислорода в крови, грубой фрагментацией сна и избыточной дневной сонливостью. Бронхиальная астма (БА) и хроническая обструктивная болезнь легких (ХОБЛ) остаются глобальной проблемой человечества в связи с сохраняющимися высокими уровнями заболеваемости и смертности от этих заболеваний. СОАС является частым коморбидным состоянием при многих заболеваниях, в том числе при хронических бронхолегочных заболеваниях, таких как БА, ХОБЛ и другие, всегда влияя на течение этих заболеваний. Наличие СОАС у таких пациентов связано с прогрессированием заболевания, отсутствием контроля над заболеванием, частыми обострениями и неблагоприятным исходом. Данная категория пациентов трудно поддается стандартному лечению, и достижение контроля над заболеванием у них затруднено. Именно это должно быть ключевым аспектом в рассмотрении целесообразности проведения диагностики на предмет СОАС. Несмотря на наличие имеющихся данных о сочетании СОАС с хроническими заболеваниями легких, практические врачи в большинстве случаев не распознают это заболевание, и пациенты остаются без полноценного лечения. Своевременное выявление и коррекция СОАС могут снизить частоту госпитализаций, улучшить течение БА и ХОБЛ, снизить смертность. Все еще остается актуальным проведение крупных популяционных исследований на выявление коморбидности СОАС при ХОБЛ и астме, что позволит разработать алгоритмы ранней диагностики СОАС с соответствующей коррекцией.

Obstructive sleep apnea is a condition characterized by snoring, periodic collapse of the upper respiratory tract at the level of the pharynx and cessation of pulmonary ventilation with continued respiratory efforts, decreased blood oxygen levels, gross fragmentation of sleep and excessive daytime sleepiness. Bronchial asthma (BA) and chronic obstructive pulmonary disease (COPD) remain a global problem for humanity due to persistent high levels of morbidity and mortality from these diseases. OSA is a common comorbid condition in many diseases, including chronic bronchopulmonary diseases such as BA, COPD and others, and always affects the course of these diseases. The presence of OSA in such patients is associated with disease progression, lack of disease control, frequent exacerbations, and an unfavorable outcome. This category of patients is difficult to treat with standard treatment and achieve disease control. This should be the key aspect in considering the appropriateness of diagnostics for obstructive sleep apnea syndrome. Despite the available data on the combination of OSA with chronic lung diseases, practitioners in most cases do not recognize this disease, and patients are left without full treatment. Timely detection and correction of OSA can reduce the frequency of hospitalizations, improve the course of BA and COPD, and reduce mortality. It is still relevant to conduct large population studies to identify the comorbidity of OSA in COPD and asthma, which will allow the development of algorithms for the early diagnosis of OSA with appropriate correction.

нарушение дыхания во снехронические бронхолегочные заболеванияPAP-терапиякоморбидные заболеванияконтроль над заболеванием

sleep disordered breathingchronic bronchopulmonary diseasePAP-therapycomorbiditiesmanagement of the disease

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The authors declare that there are no conflicts of interest present.