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[打鼾与阻塞性睡眠呼吸暂停]

[Snoring and obstructive sleep apnea].

作者信息

Racić G, Busić N, Bojić L, Pintarić I

机构信息

ORL odjel, Klinicka bolnica Split, Spinciceva 1, 21000 Split.

出版信息

Lijec Vjesn. 2001 Mar-Apr;123(3-4):88-92.

Abstract

Snoring and obstructive sleep apnea are similar disorders in etiology, with differences in clinical presentation and treatment. 5-20% of young and 40-50% of older population are affected by either of these disorders. Etiology of snoring should be sought in the anatomic irregularities of commencing portions of the upper respiratory and gastrointestinal tracts, obesity, alcohol abuse, use of some medications as well as in the sleep architecture disturbance. Treatment success depends on correctly established diagnosis and precise localisation of anatomic irregularity implicated in snoring. A wide array of diagnostic tests exist some of which are mandatory while the others are used on a case-by-case basis. Treatment is either conservative or surgical. The success rate is 30-90% depending on the type and the management of disorder. An algorithm for diagnosis and treatment of snoring and obstructive sleep apnea is shown at the end of the paper.

摘要

打鼾和阻塞性睡眠呼吸暂停在病因上是相似的疾病,但在临床表现和治疗方面存在差异。5%至20%的年轻人以及40%至50%的老年人受其中任何一种疾病影响。打鼾的病因应在上呼吸道和胃肠道起始部位的解剖结构异常、肥胖、酗酒、使用某些药物以及睡眠结构紊乱中寻找。治疗的成功取决于正确确立的诊断以及对与打鼾相关的解剖结构异常的精确定位。存在多种诊断测试,其中一些是必需的,而其他测试则根据具体情况使用。治疗方法分为保守治疗和手术治疗。根据疾病的类型和管理方式,成功率为30%至90%。本文末尾展示了打鼾和阻塞性睡眠呼吸暂停的诊断和治疗算法。

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