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阻塞性睡眠呼吸暂停:一个日益严重的问题。

Obstructive sleep apnea: a growing problem.

作者信息

Motamedi Kevin K, McClary Andrew C, Amedee Ronald G

出版信息

Ochsner J. 2009 Fall;9(3):149-53.

Abstract

Obstructive sleep apnea is an underrecognized and underdiagnosed medical condition, with a myriad of negative consequences on patients' health and society as a whole. Symptoms include daytime sleepiness, loud snoring, and restless sleep. While the "gold standard" of diagnosis is by polysomnography, a detailed history and focused physical examination may help uncover previously undiagnosed cases. Undetected obstructive sleep apnea can lead to hypertension, heart disease, depression, and even death. Several modalities exist for treating obstructive sleep apnea, including continuous positive airway pressure, oral appliances, and several surgical procedures. However, conservative approaches, such as weight loss and alcohol and tobacco cessation, are also strongly encouraged in the patient with obstructive sleep apnea. With increased awareness, both the medical community and society as a whole can begin to address this disease and help relieve the negative sequelae that result from it.

摘要

阻塞性睡眠呼吸暂停是一种未得到充分认识和诊断的医学病症,对患者健康乃至整个社会都有诸多负面影响。症状包括日间嗜睡、大声打鼾和睡眠不安。虽然诊断的“金标准”是多导睡眠图,但详细的病史和重点体格检查可能有助于发现此前未诊断出的病例。未被检测出的阻塞性睡眠呼吸暂停可导致高血压、心脏病、抑郁症甚至死亡。治疗阻塞性睡眠呼吸暂停有多种方式,包括持续气道正压通气、口腔矫治器以及多种外科手术。然而,对于阻塞性睡眠呼吸暂停患者,也强烈鼓励采取减肥、戒酒和戒烟等保守方法。随着认识的提高,医学界乃至整个社会都能够开始应对这种疾病,并帮助减轻由此产生的负面后果。

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