[睡眠呼吸暂停：持续气道正压通气治疗失败时的诊断和治疗方式]

[Sleep apnea : diagnostic and therapeutic modalities in case of failure of the CPAP].

作者信息

Geering Sébastien, Broome Martin, Heinzer Raphaël, Lambercy Karma

机构信息

Division de chirurgie maxillo-faciale, CHUV, 1011 Lausanne.

Centre d'investigation et de recherche sur le sommeil, CHUV, 1011 Lausanne.

出版信息

Rev Med Suisse. 2018 Oct 3;14(621):1751-1754.

PMID:30303327

Abstract

Obstructive sleep apnea (OSA) is a sleep disorder that affects 49 % of men and 23% of women over 40 years old. CPAP is currently the treatment of choice for severe OSAS, but there are mild to moderate cases of OSAS with poor compliance or intolerance to CPAP, for which alternative treatments should be considered. In this article, we present a tool for evaluation of the upper airways, the DISE (Drug-induced sleep endoscopy), the OAM (mandibular advancement device), the bimaxillary advancement osteotomy, the hypoglossal nerve stimulation and the positional treatment.

摘要

阻塞性睡眠呼吸暂停（OSA）是一种睡眠障碍，40岁以上的男性中有49%、女性中有23%受其影响。持续气道正压通气（CPAP）是目前重度阻塞性睡眠呼吸暂停综合征（OSAS）的首选治疗方法，但存在轻度至中度OSAS患者对CPAP依从性差或不耐受的情况，对此应考虑其他治疗方法。在本文中，我们介绍了一种评估上气道的工具，即药物诱导睡眠内镜检查（DISE）、口腔矫治器（OAM）、双颌前徙截骨术、舌下神经刺激术以及体位治疗。