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Soft cervical collar in obstructive sleep apnoea: a pilot study.阻塞性睡眠呼吸暂停中的软质颈托：一项初步研究。
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本文引用的文献

1
Reduced survival in patients with ALS with upper airway obstructive events on non-invasive ventilation.在接受无创通气的肌萎缩侧索硬化症患者中，上气道阻塞事件与生存率降低相关。
J Neurol Neurosurg Psychiatry. 2016 Oct;87(10):1045-50. doi: 10.1136/jnnp-2015-312606. Epub 2016 Apr 18.
2
Body Position May Influence Oronasal CPAP Effectiveness to Treat OSA.身体姿势可能会影响口鼻持续气道正压通气治疗阻塞性睡眠呼吸暂停的效果。
J Clin Sleep Med. 2016 Mar;12(3):447-8. doi: 10.5664/jcsm.5602.
3
Prevalence of sleep-disordered breathing in the general population: the HypnoLaus study.普通人群中睡眠呼吸紊乱的患病率：HypnoLaus 研究。
Lancet Respir Med. 2015 Apr;3(4):310-8. doi: 10.1016/S2213-2600(15)00043-0. Epub 2015 Feb 12.
4
Effect of addition of chin strap on PAP compliance, nightly duration of use, and other factors.颏带对 PAP 顺应性、夜间使用时间及其他因素的影响。
J Clin Sleep Med. 2014 Apr 15;10(4):377-83. doi: 10.5664/jcsm.3608.
5
Oronasal masks require higher levels of positive airway pressure than nasal masks to treat obstructive sleep apnea.口鼻面罩治疗阻塞性睡眠呼吸暂停时所需的气道正压水平高于鼻面罩。
Sleep Breath. 2014 Dec;18(4):845-9. doi: 10.1007/s11325-014-0954-4. Epub 2014 Feb 15.
6
Nasal versus oronasal continuous positive airway pressure masks for obstructive sleep apnea: a pilot investigation of pressure requirement, residual disease, and leak.经鼻与口鼻持续气道正压通气面罩治疗阻塞性睡眠呼吸暂停：压力需求、残余疾病和泄漏的初步研究
Sleep Breath. 2012 Sep;16(3):709-16. doi: 10.1007/s11325-011-0564-3. Epub 2011 Jul 29.
7
The effect of mandibular advancement on upper airway structure in obstructive sleep apnoea.下颌前伸对上气道结构在阻塞性睡眠呼吸暂停中的影响。
Thorax. 2010 Aug;65(8):726-32. doi: 10.1136/thx.2009.131094.
8
Lack of efficacy for a cervicomandibular support collar in the management of obstructive sleep apnea.颈下颌支撑颈圈在阻塞性睡眠呼吸暂停管理中的疗效欠佳。
Chest. 2004 Jan;125(1):118-26. doi: 10.1378/chest.125.1.118.
9
Effects of mandibular advancement on supine airway size in normal subjects during sleep.下颌前移对正常受试者睡眠期间仰卧位气道大小的影响。
Sleep. 2003 Jun 15;26(4):440-5. doi: 10.1093/sleep/26.4.440.
10
Effect of Jaw and Head Position on Airway Resistance in Obstructive Sleep Apnea.颌骨与头部位置对阻塞性睡眠呼吸暂停气道阻力的影响
Sleep Breath. 2000;4(4):163-168. doi: 10.1007/s11325-000-0163-1.

持续气道正压通气治疗后仍持续存在阻塞性呼吸暂停时使用颈圈的疗效。

Efficacy of the Addition of a Cervical Collar in the Treatment of Persistent Obstructive Apneas Despite Continuous Positive Airway Pressure.

机构信息

Clinique Saint Laurent, Groupe medical de pneumologie, Rennes, France.

GAV (Groupe Assistance ventilatoire) of the Société de Pneumologie de Langue Française.

出版信息

J Clin Sleep Med. 2017 Dec 15;13(12):1473-1476. doi: 10.5664/jcsm.6852.

DOI:10.5664/jcsm.6852
PMID:28728616
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5695995/
Abstract

Continuous positive airway pressure (CPAP) is currently the reference treatment for obstructive sleep apnea (OSA). The use of a face mask, although sometimes necessary, is often associated with increased airway obstruction due to mandibular retrusion. We report a small group of patients in whom addition of a cervical collar to a face mask allowed correction of obstructive events.

摘要

持续气道正压通气（CPAP）目前是阻塞性睡眠呼吸暂停（OSA）的参考治疗方法。面罩的使用虽然有时是必要的，但由于下颌后缩，常与气道阻塞增加有关。我们报告了一小部分患者，他们通过在面罩上加用颈圈来纠正阻塞性事件。