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长期经鼻持续气道正压通气治疗重度阻塞性睡眠呼吸暂停

Severe obstructive sleep apnoea treated with long term nasal continuous positive airway pressure.

作者信息

Frith R W, Cant B R

出版信息

Thorax. 1985 Jan;40(1):45-50. doi: 10.1136/thx.40.1.45.

DOI:10.1136/thx.40.1.45
PMID:3881841
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC459977/
Abstract

Seven patients with the severe obstructive sleep apnoea syndrome were treated with nasal continuous positive airway pressure for from three to 22 months. This treatment reversed all symptoms due to the syndrome in every patient and continued to be used in five patients. One patient stopped treatment after eight months and subsequently remained incapacitated and another underwent tracheostomy at the time of transphenoidal hypophysectomy. Nasal continuous positive airway pressure is a safe, non-invasive treatment, which may be used in the presence of cardiac and respiratory failure. It is able fully to reverse upper airway obstruction and can be used at home on a long term basis.

摘要

7例重度阻塞性睡眠呼吸暂停综合征患者接受了3至22个月的经鼻持续气道正压通气治疗。该治疗使每位患者因该综合征所致的所有症状均得到缓解,且有5例患者仍在继续使用该治疗方法。1例患者在治疗8个月后停止治疗,随后仍丧失劳动能力,另1例患者在经蝶窦垂体切除术时接受了气管切开术。经鼻持续气道正压通气是一种安全的非侵入性治疗方法,可用于存在心功能和呼吸功能衰竭的患者。它能够完全解除上气道梗阻,并且可以长期在家中使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7881/459977/70c6a668f0dd/thorax00229-0054-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7881/459977/70c6a668f0dd/thorax00229-0054-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7881/459977/70c6a668f0dd/thorax00229-0054-a.jpg

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引用本文的文献

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Sleep Breath. 2002 Mar;6(1):3-10. doi: 10.1007/s11325-002-0003-6.
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Flow-regulatory function of upper airway in health and disease: a unified pathogenetic view of sleep-disordered breathing.健康与疾病状态下上气道的流量调节功能:睡眠呼吸障碍的统一发病机制观点
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Continuous positive airway pressure improves the quality of sleep and oxygenation in obstructive sleep apnea syndrome.

本文引用的文献

1
Obstructive sleep apnea syndrome and tracheostomy. Long-term follow-up experience.阻塞性睡眠呼吸暂停综合征与气管造口术。长期随访经验。
Arch Intern Med. 1981 Jul;141(8):985-8.
2
Cardiac arrhythmias and conduction disturbances in the sleep apnea syndrome. Prevalence and significance.睡眠呼吸暂停综合征中的心律失常与传导障碍。患病率及意义。
Am J Med. 1982 Sep;73(3):317-21. doi: 10.1016/0002-9343(82)90716-1.
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The effects of a nonsurgical treatment for obstructive sleep apnea. The tongue-retaining device.一种阻塞性睡眠呼吸暂停非手术治疗方法的效果。舌托装置。
持续气道正压通气可改善阻塞性睡眠呼吸暂停低通气综合征患者的睡眠质量和氧合。
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Uvulopalatopharyngoplasty in severe idiopathic obstructive sleep apnoea syndrome.悬雍垂腭咽成形术治疗重度特发性阻塞性睡眠呼吸暂停综合征
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CMAJ. 1991 Mar 15;144(6):689-95.
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Sleep-wake disorders based on a polysomnographic diagnosis. A national cooperative study.基于多导睡眠图诊断的睡眠-觉醒障碍。一项全国性合作研究。
JAMA. 1982 Feb 19;247(7):997-1003.
5
Reversal of the "Pickwickian syndrome" by long-term use of nocturnal nasal-airway pressure.长期使用夜间气道正压通气逆转“匹克威克综合征”
N Engl J Med. 1982 Oct 7;307(15):931-3. doi: 10.1056/NEJM198210073071507.
6
Surgically correctable causes of sleep apnea syndrome.睡眠呼吸暂停综合征的外科可矫正病因。
Otolaryngol Head Neck Surg. 1981 Sep-Oct;89(5):726-31. doi: 10.1177/019459988108900506.
7
Protriptyline in obstructive sleep apnea: a double-blind trial.普罗替林治疗阻塞性睡眠呼吸暂停:一项双盲试验。
N Engl J Med. 1982 Oct 21;307(17):1037-42. doi: 10.1056/NEJM198210213071701.
8
Remission of severe obesity-hypoventilation syndrome after short-term treatment during sleep with nasal continuous positive airway pressure.睡眠期间采用鼻持续气道正压通气短期治疗后严重肥胖低通气综合征的缓解情况。
Am Rev Respir Dis. 1983 Jul;128(1):177-81. doi: 10.1164/arrd.1983.128.1.177.
9
Nocturnal nasal-airway pressure for sleep apnea.睡眠呼吸暂停的夜间鼻腔气道压力
N Engl J Med. 1983 Feb 24;308(8):461-2. doi: 10.1056/nejm198302243080820.
10
Reversal of obstructive sleep apnoea by continuous positive airway pressure applied through the nares.经鼻持续气道正压通气治疗阻塞性睡眠呼吸暂停的疗效观察
Lancet. 1981 Apr 18;1(8225):862-5. doi: 10.1016/s0140-6736(81)92140-1.