Division of Sleep Medicine, Emory University, Atlanta, GA.
Division of Sleep Medicine, Emory University, Atlanta, GA.
Chest. 2012 Dec;142(6):1645-1651. doi: 10.1378/chest.12-2391.
This article is a review of the pertinent scientific data regarding obstructive sleep apnea (OSA) as presented in the medical literature. Attention regarding the diagnosis of OSA focused on the debate regarding home testing as compared with in-laboratory polysomnography (PSG), with a surprising result of possibly more cost benefit from PSG. New advances abound in the treatment of OSA, including those directed at preventing pharyngeal collapsibility. Multiple studies reviewed the comparative effects of oral appliances in conjunction with CPAP, with little difference between the two noted, especially for mild OSA. Finally, a number of studies evaluated both risks of OSA and outcomes from the use of CPAP, including functional outcomes, direct cardiac benefits, and overall cardiac mortality.
这是一篇对医学文献中有关阻塞性睡眠呼吸暂停（OSA）的相关科学数据的综述。关于 OSA 的诊断，重点关注了家庭测试与实验室多导睡眠图（PSG）相比的争议，结果令人惊讶，PSG 可能具有更高的成本效益。OSA 的治疗方面有许多新进展，包括针对预防咽部塌陷的治疗方法。多项研究综述了口腔器具与 CPAP 联合使用的比较效果，两者之间几乎没有差异，尤其是对于轻度 OSA。最后，一些研究评估了 OSA 的风险和 CPAP 使用的结果，包括功能结果、直接心脏益处和整体心脏死亡率。
