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1、PublicHealthWalesPrimaryandsecondarypreventionofobstructivesleepapnoeaHealthcareServiceImprovementTeamPrimaryandsecondarypreventionofobstructivesleepapnoeaAuthor:NormaProsser,DrMaryWebb,PublicHealthSpecialistsDate:3September2010Version:1Publication/Distri
2、bution:·Public(Internet)ReviewDate:AreviewofthisdocumentisnotplannedbyPublicHealthWalesNHSTrustPurposeandSummaryofDocument:Thisisanevidence-basedsummaryofeffectiveinterventionsforprimaryandsecondarypreventionofobstructivesleepaponea.Ithasbeenproducedtoass
3、istlocalhealthboardstoimplementDesignedforpeoplewithchronicconditions,Servicedevelopmentandcommissioningdirective,Chronicrespiratoryconditions,andshouldbereadinconjunctionwiththatpublication.Preventioninterventionsareaimedatknownriskfactorsi.e.overweight,
4、smoking,alcohol,sleepingsupine.WorkPlanreference:HS04Date:3Sep2010Version:1Page:9of9PublicHealthWalesPrimaryandsecondarypreventionofobstructivesleepapnoeaDate:3Sep2010Version:1Page:9of9PublicHealthWalesPrimaryandsecondarypreventionofobstructivesleepapnoea
5、CONTENTS1BACKGROUND52OBSTRUCTIVESLEEPAPNOEA62.1Introduction62.2Searchmethodology72.3Prevalence82.4Hospitaladmissions93PRIMARYPREVENTIONINTERVENTIONS124SECONDARYPREVENTIONINTERVENTIONS125FURTHERINFORMATION136REFERENCES14?2010PublicHealthWalesNHSTrust.Mater
6、ialcontainedinthisdocumentmaybereproducedwithoutpriorpermissionprovideditisdonesoaccuratelyandisnotusedinamisleadingcontext.AcknowledgementtoPublicHealthWalesNHSTrusttobestated.?Date:3Sep2010Version:1Page:9of9PublicHealthWalesPrimaryandsecondaryprevention
7、ofobstructivesleepapnoeaBackgroundThisdocumenthasbeenproducedtoassistlocalhealthboardstoimplementtheWelshAssemblyGovernment’s,Designedforpeoplewithchronicconditions,Servicedevelopmentandcommissioningdirective,Chronicrespiratoryconditions1,andshouldbereadi
8、nconjunctionwiththatpublication.Akeyactionidentifiedinchapter2:Prevention–reducingtherisks(p.22)ofthepublicationisevidence-basedprimaryandsecondaryprevention1.Tosupplementtheevidence–base,andprovideanoverviewoftheto
