Kneisley L W
Torrance Memorial Hospital Sleep Disorders Center, Calif., USA.
J Calif Dent Assoc. 1998 Aug;26(8):572-8.
The prevalence, pathophysiology, and clinical and polysomnographic evaluation of obstructive sleep apnea are reviewed. The history of the development of nasal continuous positive airway pressure, diagnostic titration of the treatment, abolition of nocturnal apneas, and consolidation of sleep architecture by nasal continuous positive airway pressure and long-term patient compliance with the treatment are discussed. The effects of weight gain and weight loss on the severity of obstructive sleep apnea, and cardiovascular and behavioral complications of obstructive sleep apnea are reviewed. Behavioral treatments are discussed.
本文综述了阻塞性睡眠呼吸暂停的患病率、病理生理学以及临床和多导睡眠图评估。讨论了鼻持续气道正压通气的发展历程、治疗的诊断性滴定、夜间呼吸暂停的消除以及鼻持续气道正压通气对睡眠结构的巩固作用和患者长期治疗依从性。综述了体重增加和减轻对阻塞性睡眠呼吸暂停严重程度的影响，以及阻塞性睡眠呼吸暂停的心血管和行为并发症。还讨论了行为治疗方法。
