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[阻塞性睡眠呼吸暂停综合征。何种患者适用何种治疗方法]

[Obstructive sleep apnea syndrome. Which therapy for which patients].

作者信息

Dreher A, de la Chaux R, Behr J, Eisensehr I, Grevers G, Kastenbauer E

机构信息

Klinik und Poliklinik für Hals-, Nasen- und Ohrenkunde, Klinikum Grosshadern, München.

出版信息

MMW Fortschr Med. 2001 Apr 5;143(14):25-9.

PMID:11340905
Abstract

Obstructive sleep apnea syndrome is defined by the American Academy of Sleep Medicine as a combination of at least five obstructive events per hour of sleep and such other symptoms as daytime sleepiness, ischemic heart disease and stroke. In addition to weight reduction, the use of oral appliances, and continuous positive airway pressure (CPAP), a number of surgical interventions such as uvulopalatopharyngoplasty and maxillomandibular advancement are also available for the treatment of sleep apnea. Since no prolongation of life has yet been shown for most of the therapeutic options, treatment needs to be individualized on the basis of symptoms, clinical findings and compliance.

摘要

美国睡眠医学学会将阻塞性睡眠呼吸暂停综合征定义为每小时睡眠中至少发生五次阻塞性事件,以及伴有白天嗜睡、缺血性心脏病和中风等其他症状。除了减重、使用口腔矫治器和持续气道正压通气(CPAP)外,诸如悬雍垂腭咽成形术和上颌下颌前移术等一些外科手术干预也可用于治疗睡眠呼吸暂停。由于大多数治疗方案尚未显示出能延长寿命,因此需要根据症状、临床检查结果和依从性进行个体化治疗。

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