講師資料
Talks:
Synergistic Management Approach for Asthma Patients with Comorbid Obstructive Sleep Apnea (OSA) through Triple Therapy Integration
Name:
邱華彥(Hwa-Yen Chiu)
Position:
胸腔內科主任
Affiliation:
Department of Internal Medicine, Taipei Veterans General Hospital, Hsinchu branch
School of Medicine, National Yang Ming Chiao Tung University
Email:
Photo:
Research Interests:
Artificial intelligence, sleep medicine, small airway disease, radiomics.
Selected Publications:
(1) Obstructive sleep apnea in young Asian adults with sleep-related complaints. Chiu HY, Chou KT, Su KC, Lin FC, Liu YY, Shiao TH, Chen YM. Sci Rep. 2022 (Just accepted)
(2) Artificial Intelligence for Early Detection of Chest Nodules in X-ray Images. Chiu HY, Peng RH, Lin YC, Wang TW, Yang YX, Chen YY, Wu MH, Shiao TH, Chao HS, Chen YM, Wu YT. Biomedicines. 2022 Nov 7;10(11):2839. doi: 10.3390/biomedicines10112839.
(3) Clinical Characteristics of Rapid Eye Movement-Related Obstructive Sleep Apnea: An Experience in a Tertiary Medical Center of Taiwan. Chiu HY, Liu YY, Shiao TH, Su KC, Chou KT, Chen YM. Nat Sci Sleep. 2022;14:1521-1532. doi:10.2147/NSS.S368659.
(4) Application of Artificial Intelligence in Lung Cancer. Chiu HY, Chao HS, Chen YM. Cancers (Basel). 2022 Mar 8;14(6):1370. doi: 10.3390/cancers14061370.
(5) Small Airway Dysfunction by Impulse Oscillometry in Symptomatic Patients with Preserved Pulmonary Function. Chiu HY, Hsiao YH, Su KC, Lee YC, Ko HK, Perng DW. J Allergy Clin Immunol Pract. 2020 Jan;8(1):229-235.e3. doi: 10.1016/j.jaip.2019.06.035. Epub 2019 Jul 10.
(6) Toxicities, safeties and clinical response of dacarbazine-based chemotherapy on neuroendocrine tumors in Taiwan population. Chiu HY, Lin LY, Chou WC, Fang WL, Shyr YM, Yeh YC, Mu-Hsin Chang P, Chen MH, Hung YP, Chao Y, Chien SH, Chen MH. J Chin Med Assoc. 2018 May;81(5):423-428. doi: 10.1016/j.jcma.2017.08.020. Epub 2017 Dec 26.
(7) Tracheoesophageal fistula presenting with ventilator air leaks and recurrent pneumonia. Chiu HY, Hsu TF. Respirol Case Rep. adoi: 10.1002/rcr2.947. Epub 2022 Mar 31.
(8) Prognostic factors for advanced lung cancer patients with do-not-intubate order in intensive care unit: a retrospective study. Shen CI, Yang SY, Chiu HY, Chen WC, Yu WK, Yang KY. BMC Pulm Med. 2022 Jun 24;22(1):245. doi: 10.1186/s12890-022-02042-7.
(9) Large-scale assessment of consistency in sleep stage scoring rules among multiple sleep centers using an interpretable machine learning algorithm. Liu GR, Lin TY, Wu HT, Sheu YC, Liu CL, Liu WT, Yang MC, Ni YL, Chou KT, Chen CH, Wu D, Lan CC, Chiu KL, Chiu HY, Lo YL. J Clin Sleep Med. 2021 Feb 1;17(2):159-166. doi: 10.5664/jcsm.8820.
(10) Overview of coronavirus disease 2019: Treatment updates and advances. Luo YH, Chiu HY, Weng CS, Chen YM. J Chin Med Assoc. 2020 Sep;83(9):805-808. doi: 10.1097/JCMA.0000000000000367.
Abstract:
阻塞型睡眠呼吸中止症(OSA)與氣喘都有一些共通的呼吸道發炎與低血氧的問題而成為彼此疾病中最重要的共病之一,過去研究資料顯示,OSA病患中有49.5%具有氣喘,氣喘患者也比一般人有2.7倍的勝算比具有OSA,且氣喘和OSA彼此會加重疾病嚴重度。在治療氣喘與OSA的病人時,除了給予標準治療陽壓呼吸器外,適當的使用氣喘的藥物治療也是相當重要。除了傳統的ICS/LABA治療外,ICS/LABA/LAMA三合一療法現也成為氣喘治療的重要基石並於2023年2 月份獲得在氣喘治療的健保給付。然而,也有研究指出OSA屬於TH1發炎的疾病與氣喘屬於TH2發炎略有不同,氣喘治療的基石ICS也可能會加重OSA的嚴重度,如何給予OSA和氣喘共病患者適當的治療成為重要的議題。
2023年會:
10/29 12:30 【GSK】
Synergistic Management Approach for Asthma Patients with Comorbid Obstructive Sleep Apnea (OSA) through Triple Therapy Integration [會議室4]