|
|
阻塞性睡眠呼吸暂停低通气综合征治疗进展
|
Abstract:
阻塞性睡眠呼吸暂停低通气综合征(OSAHS)严重影响患者的日常生活，降低患者生活质量，增加患者其他疾病发病率和死亡率。是目前临床上较为常见的一种睡眠障碍、且与呼吸相关的疾病，现有大量研究表明，OSAHS与高血压、胰岛素抵抗、冠心病等多种疾病密切相关。准确评估患者病情，为OSAHS患者制定适宜的治疗方法显得尤为重要。本文简要概述了OSAHS的治疗措施。
Obstructive sleep apnea hypopnea syndrome (OSAHS) seriously affects patients’ daily life, reduces the quality of life, and increases the morbidity and mortality of other diseases. It is a common clini-cal sleep disorder and breathing-related disease. A large number of existing studies show that OSAHS is closely related to hypertension, insulin resistance, coronary heart disease and other dis-eases. It is particularly important to accurately evaluate patients' condition and develop appropri-ate treatments for OSAHS patients. This paper provides a brief overview of the treatment measures for OSAHS.
| [1] | 周伟, 王乐, 张静, 曹洁, 陈宝元. 阻塞性睡眠呼吸暂停低通气综合征的治疗进展[J]. 山东医药, 2021, 61(22): 112-115. |
| [2] | 何权瀛, 王莞尔. 阻塞性睡眠呼吸暂停低通气综合征诊治指南(基层版) [J]. 中国呼吸与危重监护杂志, 2015, 14(4): 398-405. |
| [3] | Ghazi, L., Bennett, A., Petrov, M.E., Howard, V.J., Safford, M.M., Soliman, E.Z., et al. (2018) Race, Sex, Age, and Regional Differences in the Association of Obstructive Sleep Apnea with Atrial Fibrilla-tion: Reasons for Geographic and Racial Differences in Stroke Study. Journal of Clinical Sleep Medicine, 14, 1485-1493.
https://doi.org/10.5664/jcsm.7320 |
| [4] | 上海市医学会呼吸病学分会睡眠呼吸疾病学组. 上海市30岁以上人群阻塞性睡眠呼吸暂停低通气综合征流行病学调查[J]. 中华结核和呼吸杂志, 2003, 26(5): 268-272 |
| [5] | 胡庆磊, 杜翠萍, 杨扬, 白素娟. 上海市普陀区 20 岁以上人群阻塞性睡眠呼吸暂停低通气综合征流行病学调查[J]. 中国眼耳鼻喉科杂志, 2017, 17(1): 49-54. |
| [6] | 靳秀宏, 董强, 赵晶晶, 山晓茵. 基层公务员阻塞性睡眠呼吸暂停低通气综合征的调查分析[J]. 中国医刊, 2016, 51(8): 95-98. |
| [7] | Sarkhosh, K., Switzer, N.J., El-Hadi, M., Birch, D.W., Shi, X. and Karmali, S. (2013) The Impact of Bariatric Surgery on Obstructive Sleep Apnea: A Systematic Review. Obesity Surgery, 23, 414-423.
https://doi.org/10.1007/s11695-012-0862-2 |
| [8] | 陈曦, 孙玉梅, 孙建军. OSAHS呼吸事件发生与睡眠时相、体位的关系[J]. 临床耳鼻咽喉头颈外科杂志, 2012, 26(17): 774-776. |
| [9] | 胡华元, 林雨苗, 赖素云. 睡眠体位对阻塞性睡眠呼吸暂停综合征的影响研究[J]. 临床医学工程, 2014, 21(12): 1538-1539. |
| [10] | Goldberg, R. (2000) Treatment of Obstructive Sleep Apnea, Other than with Continuous Positive Airway Pressure. Current Opinion in Pul-monary Medicine, 6, 496-500. https://doi.org/10.1097/00063198-200011000-00006 |
| [11] | Kim, S.Y., Park, Y.C., Lee, K.J., Lintermann, A., Han, S.S., Yu, H.S., et al. (2018) Assessment of Changes in the Nasal Airway after Nonsur-gical Miniscrew Assisted Rapid Maxillary Expansion in Young Adults. The Angle Orthodontist, 88, 435-441. https://doi.org/10.2319/092917-656.1 |
| [12] | Storto, C.J., Garcez, A.S., Suzuki, H., Cusmanich, K.G., Elkenawy, I., Moon, W., et al. (2019) Assessment of Respiratory Muscle Strength and Airflow before and after Microimplant-Assisted Rapid Palatal Expansion. The Angle Orthodontist, 89, 713-720. https://doi.org/10.2319/070518-504.1 |
| [13] | White, D.P. (2005) Pathogenesis of Obstructive and Central Sleep Apnea. American Journal of Respiratory and Critical Care Medicine, 172, 1363-1370. https://doi.org/10.1164/rccm.200412-1631SO |
| [14] | Wray, C.M. and Thaler, E.R. (2016) Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea: A Review of the Literature. World Journal of Otorhino-laryngology—Head and Neck Surgery, 2, 230-233.
https://doi.org/10.1016/j.wjorl.2016.11.005 |
| [15] | Friedman, M., Jacobowitz, O., Hwang, M.S., Bergler, W., Fietze, I., Rombaux, P., et al. (2016) Targeteted Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea: Six-Month Results. The Laryngoscope, 126, 2618-2623.
https://doi.org/10.1002/lary.25909 |
| [16] | Berry, R.B. and Block, A.J. (1984) Positive Nasal Airway Pressure Elim-inates Snoring as Well as Obstructive Sleep Apnea. Chest, 85, 15-20. https://doi.org/10.1378/chest.85.1.15 |
| [17] | Cruz, I.A., Drummond, M. and Winck, J.C. (2012) Obstructive Sleep Apnea Symptoms beyond Sleepiness and Snoring: Effects of Nasal APAP Therapy. Sleep and Breath, 16, 361-366. https://doi.org/10.1007/s11325-011-0502-4 |
| [18] | Virk, J.S. and Kotecha, B. (2016) When Continuous Positive Airway Pressure (CPAP) Fails. Journal of Thoracic Disease, 8, E1112-E1121. https://doi.org/10.21037/jtd.2016.09.67 |
| [19] | John, C.R., Gandhi, S., Sakharia, A.R. and James, T.T. (2018) Max-illomandibular Advancement Is a Successful Treatment for Obstructive Sleep Apnoea: A Systematic Review and Me-ta-Analysis. International Journal of Oral and Maxillofacial Surgery, 47, 1561-1571. https://doi.org/10.1016/j.ijom.2018.05.015 |
| [20] | Nussbaumer-Ochsner, Y., Latshang, T.D., Ulrich, S., Kohler, M., Thurnheer, R. and Bloch, K.E. (2012) Patients with Obstructive Sleep Apnea Syndrome Benefit from Acetazolamide during an Altitude Sojourn. Chest, 141, 131-138.
https://doi.org/10.1378/chest.11-0375 |
| [21] | 房芳, 邓立伟, 邓宏伟, 王爽, 谢建军, 朱欣佚. 加味半夏厚朴汤治疗痰气互结型阻塞性睡眠呼吸暂停低通气综合征的临床研究[J]. 世界中西医结合杂志, 2018, 13(12): 1715-1718. |
| [22] | 连乐燊, 蒋紫云, 刘小虹, 朱晓珏, 李玲玲. 半夏厚朴汤对阻塞性睡眠呼吸暂停低通气综合征患者炎症反应、氧化应激、血管内皮功能障碍的影响[J]. 广州中医药大学, 2020, 37(9): 1636-1640. |
| [23] | 蒋紫云, 陶海澜, 肖超烈, 朱晓珏, 周谨希, 连乐燊. 行气化痰法中药汤剂治疗阻塞性睡眠呼吸暂停低通气综合征的系统评价[J]. 中医临床研究, 2021, 13(31): 135-139. |
| [24] | 李如芳. 消鼾利气汤联合持续气道正压通气治疗成人阻塞性睡眠呼吸暂停低通气综合征的临床观察[J]. 中国民间疗法, 2020, 28(3): 52-54. https://doi.org/10.19621/j.cnki.11-3555/r.2020.0326 |
