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[睡眠呼吸障碍的诊断与治疗:最新进展]

[Diagnosis and treatment of sleep disordered breathing: an update].

作者信息

Ye Jingying

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 Mar;29(6):483-5.

Abstract

The sleep breathing disorders (SDB) include obstructive sleep apnea (OSA), central sleep apnea disorders, sleep related hypoventilation disorders, and sleep related hypoxemia disorder in international classification of sleep diseases 3rd edition (ICSD-3). Latest diagnosis criteria are introduced. Treatments, which target to Individual contributors, should be applied. Thus identification of the phenotype in patients with OSA is important. The methods of evaluation patients' arousal thresholds, loop gain as well as neuromyopathy in clinical setting are reported. Several new treatment strategies are developed and applied for OSA. Long term follow up and more data are needed for evaluation the outcomes of hypoglossal nerve stimulation, bariatric surgery as well as medicine as treatments for OSA.

摘要

在《国际睡眠疾病分类》第三版(ICSD - 3)中,睡眠呼吸障碍(SDB)包括阻塞性睡眠呼吸暂停(OSA)、中枢性睡眠呼吸暂停障碍、与睡眠相关的通气不足障碍以及与睡眠相关的低氧血症障碍。介绍了最新的诊断标准。应采用针对个体病因的治疗方法。因此,识别阻塞性睡眠呼吸暂停患者的表型很重要。报告了在临床环境中评估患者觉醒阈值、环路增益以及神经肌肉病变的方法。针对阻塞性睡眠呼吸暂停已开发并应用了几种新的治疗策略。需要长期随访和更多数据来评估舌下神经刺激、减肥手术以及药物治疗阻塞性睡眠呼吸暂停的效果。

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