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阻塞性睡眠呼吸暂停综合征的鼻腔手术

Nasal Surgery for Obstructive Sleep Apnea Syndrome.

作者信息

Mickelson Samuel A

机构信息

Advanced Ear Nose & Throat Associates, The Atlanta Snoring & Sleep Disorders Institute, 960 Johnson Ferry Road Northeast, Suite 200, Atlanta, GA 30342, USA.

出版信息

Otolaryngol Clin North Am. 2016 Dec;49(6):1373-1381. doi: 10.1016/j.otc.2016.07.002. Epub 2016 Oct 6.

Abstract

Obstructive sleep apnea is a common condition, primarily caused by narrowing of the nasal and pharyngeal airway. Treatment with continuous positive airway pressure (CPAP) is considered the first line of therapy, but long-term compliance is only about 40%, often because of nasal obstruction. Any nasal obstruction can worsen CPAP compliance. Treatment of the nasal obstruction with topical nasal steroid sprays or nasal dilators has been shown to improve sleep disordered breathing. Surgical treatment of nasal obstruction, has been shown to improve sleep disordered breathing, as well as CPAP requirement and compliance with CPAP.

摘要

阻塞性睡眠呼吸暂停是一种常见病症,主要由鼻腔和咽部气道狭窄引起。持续气道正压通气(CPAP)治疗被视为一线治疗方法,但长期依从性仅约为40%,通常是由于鼻阻塞所致。任何鼻阻塞都会使CPAP依从性变差。局部使用鼻用类固醇喷雾剂或鼻扩张器治疗鼻阻塞已被证明可改善睡眠呼吸紊乱。鼻阻塞的手术治疗已被证明可改善睡眠呼吸紊乱,以及CPAP需求和对CPAP的依从性。

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