Kezirian Eric J
Department of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, U.S.A.
Laryngoscope. 2024 Aug;134(8):E26. doi: 10.1002/lary.31411. Epub 2024 Mar 21.
Hypoglossal nerve stimulation is an important treatment for obstructive sleep apnea (OSA). Many patients with OSA also have insomnia. A recent study has suggested that outcomes of hypoglossal nerve stimulation are no worse (and may be better) in individuals with comorbid OSA and insomnia. Unfortunately, this publication had some important limitations, primarily that the measure of insomnia was not valid for individuals with any other sleep disorder, including OSA. There are reasons to exercise caution in recommending this OSA treatment in those with substantial insomnia, and this important question remains unanswered.
舌下神经刺激是阻塞性睡眠呼吸暂停（OSA）的一种重要治疗方法。许多OSA患者也患有失眠症。最近一项研究表明，对于合并OSA和失眠症的个体，舌下神经刺激的治疗效果并不更差（甚至可能更好）。不幸的是，该出版物存在一些重要局限性，主要是失眠的测量方法对包括OSA在内的任何其他睡眠障碍患者无效。在向有严重失眠的患者推荐这种OSA治疗方法时，有理由谨慎行事，而这个重要问题仍未得到解答。
