Hörmann K, Maurer J T, Hirth K
Universitäts-HNO-Klinik, Mannheim.
Laryngorhinootologie. 2000 Mar;79(3):180-9.
Snoring, excessive daytime sleepiness and nocturnal apnoea are among the leading symptoms of the obstructive sleep apnoea syndrome (OSAS). Primary snoring without upper airway obstruction is a more common and normal phenomenon in sleep and has to be distinguished from OSAS. Patients with primary snoring are often suffering and complain of great distress and social embarrassment and therefore request professional help. Therefore, the otorhinolaryngologist has to be aware of the different treatment options that are possible and sensible. Apart from behavioral changes and general measures (weight loss, reduction of alcohol consumption, sleep position training), there are different conservative and surgical treatment options. In this article, the pathophysiology, diagnosis and treatment of primary snoring will be discussed.
打鼾、日间过度嗜睡和夜间呼吸暂停是阻塞性睡眠呼吸暂停综合征(OSAS)的主要症状。无气道阻塞的原发性打鼾是睡眠中更常见的正常现象,必须与OSAS区分开来。原发性打鼾患者常感到痛苦,抱怨极度困扰和社交尴尬,因此寻求专业帮助。因此,耳鼻喉科医生必须了解可能且合理的不同治疗选择。除了行为改变和一般措施(减肥、减少饮酒、睡眠姿势训练)外,还有不同的保守和手术治疗选择。本文将讨论原发性打鼾的病理生理学、诊断和治疗。