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Positional therapy is worth a try in patients with mild obstructive sleep apnea. Point-counterpoint: is avoidance of supine sleep an adequate treatment for OSA?

作者信息

Casey Kenneth R

机构信息

Cincinnati Veterans Affairs Medical Center, Cincinnati, OH.

出版信息

J Clin Sleep Med. 2015 Jan 15;11(2):89-90. doi: 10.5664/jcsm.4444.

DOI:10.5664/jcsm.4444
PMID:25580600
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4298780/
Abstract
摘要

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1
Positional therapy is worth a try in patients with mild obstructive sleep apnea. Point-counterpoint: is avoidance of supine sleep an adequate treatment for OSA?对于轻度阻塞性睡眠呼吸暂停患者，体位疗法值得一试。针锋相对的观点：避免仰卧睡眠对阻塞性睡眠呼吸暂停来说是一种充分的治疗方法吗？
J Clin Sleep Med. 2015 Jan 15;11(2):89-90. doi: 10.5664/jcsm.4444.
2
Positional therapy: an easy suggestion, but often not the right answer. Point-counterpoint: is avoidance of supine sleep an adequate treatment for OSA?体位疗法：一个简单的建议，但往往并非正确答案。针锋相对：避免仰卧睡眠对阻塞性睡眠呼吸暂停是否是一种充分的治疗方法？
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Are we missing a simple treatment for most adult sleep apnea patients? The avoidance of the supine sleep position.我们是否忽略了大多数成年睡眠呼吸暂停患者的简单治疗方法？避免仰卧睡眠姿势。
J Sleep Res. 2014 Apr;23(2):204-10. doi: 10.1111/jsr.12097. Epub 2013 Oct 10.
4
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Comparison of positional therapy versus continuous positive airway pressure in patients with positional obstructive sleep apnea: a meta-analysis of randomized trials.体位疗法与持续气道正压通气治疗体位性阻塞性睡眠呼吸暂停患者的比较：随机试验的荟萃分析。
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Positional therapy for obstructive sleep apnea patients: A 6-month follow-up study.阻塞性睡眠呼吸暂停患者的体位治疗：一项为期6个月的随访研究。
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[The significance of body posture on breathing abnormalities during sleep: data analysis of 2077 obstructive sleep apnea patients].[睡眠期间身体姿势对呼吸异常的影响：2077例阻塞性睡眠呼吸暂停患者的数据分析]
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引用本文的文献

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The Use of Remotely Controlled Mandibular Positioner as a Predictive Screening Tool for Mandibular Advancement Device Therapy in Patients with Obstructive Sleep Apnea through Single-Night Progressive Titration of the Mandible: A Systematic Review.通过下颌单夜渐进性滴定，使用遥控下颌定位器作为阻塞性睡眠呼吸暂停患者下颌前移装置治疗的预测性筛查工具：一项系统评价。
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本文引用的文献

1
Sleep position trainer versus tennis ball technique in positional obstructive sleep apnea syndrome.睡眠体位训练器与网球技术治疗体位性阻塞性睡眠呼吸暂停综合征的比较
J Clin Sleep Med. 2015 Jan 15;11(2):139-47. doi: 10.5664/jcsm.4460.
2
Usage of positional therapy in adults with obstructive sleep apnea.体位疗法在成人阻塞性睡眠呼吸暂停中的应用。
J Clin Sleep Med. 2015 Jan 15;11(2):131-7. doi: 10.5664/jcsm.4458.
3
Comparison of cardiovascular co-morbidities and CPAP use in patients with positional and non-positional mild obstructive sleep apnea.体位性和非体位性轻度阻塞性睡眠呼吸暂停患者心血管合并症与持续气道正压通气使用情况的比较
BMC Pulm Med. 2014 Sep 26;14:153. doi: 10.1186/1471-2466-14-153.
4
Positional therapy for sleep apnea: a promising behavioral therapeutic option still waiting for qualified studies.睡眠呼吸暂停的体位治疗：一种有前景的行为治疗选择，但仍有待高质量研究。
Sleep Med Rev. 2014 Feb;18(1):3-5. doi: 10.1016/j.smrv.2013.08.003. Epub 2013 Sep 7.
5
Comparison of positional therapy versus continuous positive airway pressure in patients with positional obstructive sleep apnea: a meta-analysis of randomized trials.体位疗法与持续气道正压通气治疗体位性阻塞性睡眠呼吸暂停患者的比较：随机试验的荟萃分析。
Sleep Med Rev. 2014 Feb;18(1):19-24. doi: 10.1016/j.smrv.2013.05.003. Epub 2013 Jul 3.
6
Supine position related obstructive sleep apnea in adults: pathogenesis and treatment.仰卧位相关成人阻塞性睡眠呼吸暂停：发病机制与治疗。
Sleep Med Rev. 2014 Feb;18(1):7-17. doi: 10.1016/j.smrv.2013.01.005. Epub 2013 May 10.
7
The effect of positional dependency on outcomes of treatment with a mandibular advancement device.位置依赖性对下颌前移装置治疗效果的影响。
Arch Otolaryngol Head Neck Surg. 2012 May;138(5):479-83. doi: 10.1001/archoto.2012.452.
8
The undervalued potential of positional therapy in position-dependent snoring and obstructive sleep apnea-a review of the literature.体位疗法在体位相关性打鼾和阻塞性睡眠呼吸暂停中被低估的潜力——文献回顾。
Sleep Breath. 2013 Mar;17(1):39-49. doi: 10.1007/s11325-012-0683-5. Epub 2012 Mar 24.
9
Clinical and polysomnographic data of positional sleep apnea and its predictors.体位性睡眠呼吸暂停的临床和多导睡眠图数据及其预测因素。
Sleep Breath. 2012 Dec;16(4):1167-72. doi: 10.1007/s11325-011-0627-5. Epub 2011 Dec 2.
10
Positional dependency in Asian patients with obstructive sleep apnea and its implication for hypertension.亚洲阻塞性睡眠呼吸暂停患者的体位依赖性及其对高血压的影响。
Arch Otolaryngol Head Neck Surg. 2011 Aug;137(8):786-90. doi: 10.1001/archoto.2011.122.