Katz A, Dinner D S
Sleep Disorders Center, Cleveland Clinic Foundation, OH 44195.
Cleve Clin J Med. 1992 Nov-Dec;59(6):634-6; discussion 636. doi: 10.3949/ccjm.59.6.634.
Sleeping in the supine position exacerbates obstructive sleep apnea. Patients sleeping off their backs during a polysomnographic study might have a normal study in spite of having a history of severe obstructive sleep apnea. This might be shown by repeating the study with the patients spending most of the study time sleeping on their backs. We report three patients illustrating this point and discuss the importance of monitoring sleep position while performing polysomnography. The effect of position in interpreting different therapeutic modes for obstructive sleep apnea should be considered.
仰卧位睡眠会加重阻塞性睡眠呼吸暂停。在多导睡眠图研究中，那些不采用仰卧位睡眠的患者，尽管有严重阻塞性睡眠呼吸暂停病史，其检查结果可能正常。让患者在研究的大部分时间采用仰卧位重复进行该检查，可能会显示出这种情况。我们报告了三例说明这一点的患者，并讨论了在进行多导睡眠图检查时监测睡眠姿势的重要性。应考虑姿势对解释阻塞性睡眠呼吸暂停不同治疗模式的影响。
