Choi Bo Yoon, Kim Jin Kook, Cho Jae Hoon
Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine Konkuk University, Seoul, Republic of Korea.
J Rhinol. 2022 Nov;29(3):134-140. doi: 10.18787/jr.2022.00422. Epub 2022 Nov 30.
This paper summarizes a recent meta-analysis of various topics in obstructive sleep apnea (OSA). In addition to cardiovascular disease and neurocognitive dysfunction, a wide variety of diseases have been associated with OSA, and associations with cancer have also been reported. Although continuous positive airway pressure is a very effective treatment, the results have shown that it does not reduce the incidence of various complications. It has been reported that uvulopalatopharyngoplasty was effective, and robotic surgery for the tongue root and hypoglossal nerve stimulation were also effective. The effectiveness of various medications to reduce daytime sleepiness has also been demonstrated. Although exercise lowered the apnea-hypopnea index, it was not related to changes in body composition, and it was also reported that exercise combined with weight control were effective. Additionally, interesting and clinically meaningful meta-analysis results were summarized and presented.
本文总结了近期对阻塞性睡眠呼吸暂停(OSA)各种主题的荟萃分析。除了心血管疾病和神经认知功能障碍外,多种疾病都与OSA有关,并且也有与癌症相关的报道。尽管持续气道正压通气是一种非常有效的治疗方法,但结果表明它并不能降低各种并发症的发生率。据报道,悬雍垂腭咽成形术是有效的,舌根机器人手术和舌下神经刺激也有效。各种药物减少日间嗜睡的有效性也已得到证实。尽管运动降低了呼吸暂停低通气指数,但它与身体成分的变化无关,并且也有报道称运动与体重控制相结合是有效的。此外,还总结并呈现了有趣且具有临床意义的荟萃分析结果。