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[阻塞性打鼾——诊断与治疗]

[Obstructive snoring--diagnosis and therapy].

作者信息

Waschke K, Fietze I, Warmuth R, Witt C, Baumann G

机构信息

Universitätsklinikum Charité, Schlafmedizinisches Zentrum, Humboldt Universität zu Berlin.

出版信息

Pneumologie. 1995 Mar;49 Suppl 1:148-51.

PMID:7617600
Abstract

Obstructive snoring belongs to the sleep-related breathing disorders. The characteristics of this disorder is described, following the case report about two young snorers, complaining of excessive day-time sleepiness, involuntary falling asleep in monotoneous situations. Ambulatory monitoring using the four-channel system MESAM-IV showed a Respiratory Disturbance Index of < 5 during a predominantly continuous snoring episode without significant drops in oxygen saturation. Clinical cardio-respiratoric polysomnographic monitoring showed a normal architecture of sleep interrupted by respiratory arousals. Under nasal CPAP treatment these arousals, as well as the complained excessive daytime sleepiness disappeared. The latter fact becomes evident, when comparing the sleep latencies before therapy to those under CPAP-treatment, estimated by the Multiple Sleep Latency Test (MSLT). Thus, this therapy proved to be very effective in patients suffering from obstructive snoring.

摘要

阻塞性打鼾属于与睡眠相关的呼吸障碍。在报告了两名年轻打鼾者的病例后,描述了这种疾病的特征,他们抱怨白天过度嗜睡,在单调的情况下会不自觉入睡。使用四通道系统MESAM-IV进行的动态监测显示,在主要为持续性打鼾发作期间,呼吸紊乱指数<5,且氧饱和度无明显下降。临床心肺多导睡眠监测显示睡眠结构正常,但被呼吸唤醒打断。在鼻持续气道正压通气(CPAP)治疗下,这些唤醒以及抱怨的白天过度嗜睡症状消失。当通过多次睡眠潜伏期试验(MSLT)比较治疗前与CPAP治疗下的睡眠潜伏期时,后一事实变得明显。因此,这种疗法被证明对阻塞性打鼾患者非常有效。

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