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[阻塞性睡眠呼吸暂停综合征的治疗]

[Therapy of obstructive sleep apnea syndrome].

作者信息

Kloss W, Meier-Ewert K, Schäfer H

出版信息

Fortschr Neurol Psychiatr. 1986 Aug;54(8):267-71. doi: 10.1055/s-2007-1001873.

DOI:10.1055/s-2007-1001873
PMID:3530925
Abstract

Symptomatology and sequelae, as well as diagnosis and therapy of the obstructive sleep apnea syndrome are discussed. The Esmarch prosthesis, which we developed for the prosthetic treatment of obstructive sleep apnea syndrome, was tested in 7 patients. Patients were polysomnographically recorded during two sequential nights with and without Esmarch prosthesis. All apnea parameters improved significantly (apnea time by 78%, apnea index by 67% of baseline values). The mean duration of the remaining apnea phases diminished by 31%. Improvement of O2 saturation of haemoglobin and O2 partial pressure in the tissue paralleled that of the apnea parameters. The severely disturbed sleep profile of the patients showed a clear tendency towards normalization. The Esmarch prosthesis is an efficient method for the treatment of the obstructive sleep apnea syndrome.

摘要

本文讨论了阻塞性睡眠呼吸暂停综合征的症状学、后遗症以及诊断和治疗方法。我们研发的用于阻塞性睡眠呼吸暂停综合征修复治疗的埃斯马赫假体,在7例患者中进行了测试。在使用和不使用埃斯马赫假体的情况下,对患者进行了连续两晚的多导睡眠图记录。所有呼吸暂停参数均有显著改善(呼吸暂停时间减少78%,呼吸暂停指数降至基线值的67%)。其余呼吸暂停阶段的平均持续时间缩短了31%。血红蛋白氧饱和度和组织中氧分压的改善与呼吸暂停参数的改善情况相似。患者严重紊乱的睡眠模式呈现出明显的正常化趋势。埃斯马赫假体是治疗阻塞性睡眠呼吸暂停综合征的一种有效方法。

相似文献

1
[Therapy of obstructive sleep apnea syndrome].[阻塞性睡眠呼吸暂停综合征的治疗]
Fortschr Neurol Psychiatr. 1986 Aug;54(8):267-71. doi: 10.1055/s-2007-1001873.
2
Increasing the functional residual capacity may reverse obstructive sleep apnea.增加功能残气量可能会逆转阻塞性睡眠呼吸暂停。
Sleep. 1988 Aug;11(4):349-53.
3
[Nasal continuous positive airway pressure therapy in obstructive sleep apnea syndrome].[鼻持续气道正压通气治疗阻塞性睡眠呼吸暂停综合征]
Zhonghua Jie He He Hu Xi Za Zhi. 1991 Aug;14(4):225-7, 256.
4
[Treatment of obstructive sleep apnea syndrome].[阻塞性睡眠呼吸暂停低通气综合征的治疗]
Pneumonol Pol. 1989 Mar;57(3):155-9.
5
[Treatment with continuous positive nasal pressure in obstructive sleep apnea syndrome].[持续气道正压通气治疗阻塞性睡眠呼吸暂停低通气综合征]
Med Clin (Barc). 1992 Jan 11;98(1):9-13.
6
[Life-threatening apnea after midazolam administration in a patient with obstructive sleep apnea syndrome].[阻塞性睡眠呼吸暂停综合征患者使用咪达唑仑后出现危及生命的呼吸暂停]
Schweiz Med Wochenschr. 1987 Apr 11;117(15):579-83.
7
[Polysomnographic diagnosis of obstructive sleep apnea syndrome].[阻塞性睡眠呼吸暂停低通气综合征的多导睡眠图诊断]
Pneumonol Pol. 1989 Mar;57(3):149-54.
8
[Diagnosis of obstructive sleep apnea syndrome].[阻塞性睡眠呼吸暂停低通气综合征的诊断]
Pol Tyg Lek. 1992;47(34-35):722-5.
9
[Comparative studies on the effect of nasal CPAP, theophylline and oxygen in patients with sleep apnea syndrome].[鼻持续气道正压通气、氨茶碱和氧气对睡眠呼吸暂停综合征患者疗效的比较研究]
Pneumologie. 1991 May;45 Suppl 1:279-82.
10
[Effectiveness of continuous positive airway pressure in the long-term treatment of the obstructive sleep apnea syndrome].[持续气道正压通气在阻塞性睡眠呼吸暂停综合征长期治疗中的有效性]
Med Clin (Barc). 1989 Dec 9;93(19):727-30.

引用本文的文献

1
Review of oral appliances for treatment of sleep-disordered breathing.治疗睡眠呼吸障碍的口腔矫治器综述。
Sleep Breath. 2007 Mar;11(1):1-22. doi: 10.1007/s11325-006-0084-8.
2
Recent Developments in Oral Appliance Therapy of Sleep Disordered Breathing.睡眠呼吸障碍口腔矫治器疗法的最新进展
Sleep Breath. 1999;3(3):103-106. doi: 10.1007/s11325-999-0103-7.
3
Oral appliances for the management of snoring and obstructive sleep apnoea.用于治疗打鼾和阻塞性睡眠呼吸暂停的口腔矫治器。
Thorax. 1998 Aug;53 Suppl 2(Suppl 2):S58-64. doi: 10.1136/thx.53.2008.s58.