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睡眠呼吸暂停手术:综合考量

Sleep apnea surgery: putting it all together.

作者信息

Li Kasey K

机构信息

Multidisciplinary Treatment Team, Stanford Sleep Disorders Clinic and Research Center, 1900 University Avenue, Suite # 105, Stanford, CA 94303, USA.

出版信息

Oral Maxillofac Surg Clin North Am. 2009 Nov;21(4):421-3. doi: 10.1016/j.coms.2009.08.003.

DOI:10.1016/j.coms.2009.08.003
PMID:19944342
Abstract

Since the first description of uvulopalatopharyngoplasty (UPPP) in 1972, the surgical management of obstructive sleep apnea syndrome (OSA) has become increasingly popular. This popularity is caused by several reasons. The psychomotor sequelae of OSA, such as excessive daytime sleepiness, daytime fatigue, and poor sleep quality caused by sleep fragmentation, have major deleterious impact on patients' well being, which behooves them to seek treatment. The risk of hypertension, heart attack, and stroke also prompts patients to seek treatment. Further, despite the potential success of nasal continuous positive airway pressure (CPAP), patients' compliance represents a clear problem, thus causing patients to seek treatment alternatives, namely surgery. All surgeons treating patients who have OSA must realize that the management of OSA crosses specialty lines and no single specialty can adequately take care of patients alone.

摘要

自1972年首次描述悬雍垂腭咽成形术(UPPP)以来,阻塞性睡眠呼吸暂停综合征(OSA)的外科治疗越来越受欢迎。这种受欢迎有几个原因。OSA的精神运动后遗症,如白天过度嗜睡、白天疲劳以及由睡眠片段化导致的睡眠质量差,对患者的健康有重大有害影响,这促使他们寻求治疗。高血压、心脏病发作和中风的风险也促使患者寻求治疗。此外,尽管鼻持续气道正压通气(CPAP)可能取得成功,但患者的依从性是一个明显的问题,因此导致患者寻求替代治疗方法,即手术。所有治疗OSA患者的外科医生都必须认识到,OSA的治疗跨越了专业界限,没有任何一个单一专业能够单独充分照顾好患者。

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The efficacy of a chinstrap in treating sleep disordered breathing and snoring.下颌托治疗睡眠呼吸障碍和打鼾的疗效。
J Clin Sleep Med. 2014 Aug 15;10(8):887-92. doi: 10.5664/jcsm.3962.
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Stroke and obstructive sleep apnea: a review.中风和阻塞性睡眠呼吸暂停:综述。
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