Makofsky H W
State University of New York at Stony Brook, USA.
Cranio. 1997 Jan;15(1):68-73. doi: 10.1080/08869634.1997.11745994.
The aim of this article is to present scientific and clinical evidence to support the role of proper head and neck posture in the management of snoring and obstructive sleep apnea. Obstruction of the upper-airway during sleep is a serious medical condition often associated with severe daytime somnolence, morning headache, and a host of cardiopulmonary complications, including but not limited to systemic and pulmonary hypertension, nocturnal cardiac dysrhythmias, myocardial infarction, and stroke. Though anti-snoring pillows are occasionally mentioned in the literature, the role of proper head-neck support during sleep has been largely neglected. In this article the effect of head-neck position on upper-airway obstruction during sleep is discussed from the perspective of both causation and treatment. Based on the evidence presented by the author, it is recommended that the use of cervical-support pillows be considered as an adjunctive treatment modality in patients suffering from snoring and obstructive sleep apnea.
本文旨在提供科学和临床证据，以支持正确的头颈部姿势在治疗打鼾和阻塞性睡眠呼吸暂停中的作用。睡眠期间上呼吸道阻塞是一种严重的医学状况，常伴有严重的日间嗜睡、晨起头痛以及一系列心肺并发症，包括但不限于系统性和肺动脉高压、夜间心律失常、心肌梗死和中风。尽管抗打鼾枕头偶尔在文献中被提及，但睡眠期间适当的头颈部支撑作用在很大程度上被忽视了。本文从病因和治疗两个角度讨论了头颈部位置对睡眠期间上呼吸道阻塞的影响。基于作者提供的证据，建议将使用颈椎支撑枕头作为打鼾和阻塞性睡眠呼吸暂停患者的辅助治疗方式。
