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使用下颌前移装置与自动持续气道正压通气治疗重度阻塞性睡眠呼吸暂停

Management of severe obstructive sleep apnea using mandibular advancement devices with auto continuous positive airway pressures.

作者信息

Upadhyay Rashmi, Dubey Abhishek, Kant Surya, Singh Balendra Pratap

机构信息

Department of Pulmonary Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.

Department of Prosthodontics, King George's Medical University, Lucknow, Uttar Pradesh, India.

出版信息

Lung India. 2015 Mar-Apr;32(2):158-61. doi: 10.4103/0970-2113.152632.

DOI:10.4103/0970-2113.152632
PMID:25814802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4372871/
Abstract

The use of continuous positive airway pressures (CPAP) is considered standard treatment of moderate to severe obstructive sleep apnea (OSA). Treatment of the disease poses a great challenge not only for its diagnostic purpose but also for its treatment part. In about 29-83% of the patients, treatment is difficult because of non-compliance resulting due to high pressures, air leaks and other related issues. In such situations, alternative methods of treatment need to be looked for so as to ascertain better management. Mandibular advancement devices along with CPAP may show better treatment outcome in specific situations.

摘要

持续气道正压通气(CPAP)的使用被认为是中重度阻塞性睡眠呼吸暂停(OSA)的标准治疗方法。该疾病的治疗不仅在诊断方面,而且在治疗方面都面临着巨大挑战。在大约29%至83%的患者中,由于高压、漏气及其他相关问题导致的不依从性,治疗存在困难。在这种情况下,需要寻找替代治疗方法以确定更好的治疗方案。在特定情况下,下颌前移装置与CPAP联合使用可能会显示出更好的治疗效果。

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