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打鼾——喉科医生在诊断和治疗其病因中的作用。

Snoring - the role of the laryngologist in diagnosing and treating its causes.

机构信息

Department of Otolaryngology, Independent Public Provincial Hopsital, Szczecin, Poland.

出版信息

Eur J Med Res. 2009 Dec 7;14 Suppl 4(Suppl 4):67-70. doi: 10.1186/2047-783x-14-s4-67.

Abstract

According to various data, snoring may affect about 2 billion people worldwide, with about 8 million adult people in Poland being estimated to snore. Apart from being disturbing for other people, it brings about a measurable risk for the patient, which results from transient anoxia. As a consequence, it may increase the risk of arterial hypertension, myocardial infarction, cerebral stroke and impotency, as well as mental disturbances like depression or anxiety states. The physician a snoring patient may consult in the first instance is the laryngologist. He determines whether upper airway obturation (in contrast to central sleep apnea) is dealt with, and takes a decision about treatment method, or redirects the patient to another specialist. In this paper, the position of a laryngologist in the diagnosis and treatment of snoring is presented. The material consisted of patients presenting with this problem at the otolaryngology department. The proceedings with patients in the admission office setting were described as well as qualification methods for further medical and operative treatment. A review of the applied procedures was made, in particular allowing for the most recent therapeutic methods.

摘要

根据各种数据,打鼾可能影响全球约 20 亿人,波兰约有 800 万成年人被认为有打鼾的情况。除了对他人造成困扰外,打鼾还会给患者带来可衡量的风险,这是由短暂性缺氧引起的。因此,它可能会增加动脉高血压、心肌梗死、脑卒中和阳痿的风险,以及抑郁或焦虑等精神障碍的风险。打鼾患者可能首先咨询的医生是耳鼻喉科医生。他确定上呼吸道阻塞(与中枢性睡眠呼吸暂停相反)是否需要处理,并决定治疗方法,或将患者转介给其他专家。本文介绍了耳鼻喉科医生在诊断和治疗打鼾方面的作用。该材料由耳鼻喉科就诊的有此问题的患者组成。还描述了住院处患者的处理程序以及进一步的医疗和手术治疗的资格方法。对所采用的程序进行了回顾,特别是考虑了最近的治疗方法。

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