You Position: Home > Paper
阻塞性睡眠呼吸暂停低通气综合征的诊断与治疗
( views:69, downloads:472 )
- Author:
- No author available
- Journal Title:
- National Medical Journal of China
- Issue:
- 18
- DOI:
- 10.3760/cma.j.issn.0376-2491.2012.18.002
- Key Word:
- No keyword available
Abstract： 阻塞性睡眠呼吸暂停低通气综合征( obstractivesleep apnea hypopnea syndrome,OSAHS)是指在睡眠期反复发生上气道阻塞并引起呼吸暂停的一种现代常见病,其发病率日益增高.该病以睡眠时反复发作的上呼吸道塌陷阻塞为特征,通常伴随着血氧饱和度( SaO2)降低,主要表现为睡眠中出现打鼾、憋气、睡眠结构紊乱、反复SaO2下降、白天嗜睡等症状.患有OSAHS的患者常常在睡眠时重复出现完全的呼吸暂停,伴随不同程度的间歇性低氧,可造成多种心脑血管和代谢紊乱并发症[1],严重影响患者的生活质量和威胁其生命安全,并可引起交通意外等社会安全问题[2-3].近年来,随着现代科学的发展和人们对生活质量要求的提高,人们对OSAHS的诊断和治疗日趋重视.
- [1]中华医学会呼吸病学分会睡眠呼吸疾病学组.阻塞性睡眠呼吸暂停低通气综合征诊治指南（草案）[J].2002,(4).
- [2]中华医学会呼吸病学分会睡眠呼吸障碍学组.阻塞性睡眠呼吸暂停低通气综合征诊治指南（2011年修订版）[J].2012,(1).
- [3]张希龙,殷凯生,江时森,等.匹配压力支持伺服通气对充血性心力衰竭陈-施氏呼吸患者的疗效观察[J].2006,(23).
- [4]张希龙,黎燕群.持续气道正压通气治疗阻塞性睡眠呼吸暂停低通气综合征合并难治性高血压疗效分析[J].2009,(26).
- [5]钟泽其,陶媛,张宗平,等.阻塞性睡眠呼吸暂停低通气综合征患者日间嗜睡与清醒安静状态下动脉血氧饱和度的相关性研究[J].2011,(1).
- [6]Riveiro A,Zamarron C,Garcia-Paz V.Obstructive sleep apnea syndrome is a systemic disease. Current evidence.[J].2008,19(6).
- [7]Eastwood,P.R.,Barnes,M.,Walsh,J.H.,etc.Treating obstructive sleep apnea with hypoglossal nerve stimulation[J].2011,34(11).
- [8]CARRERA MIGUEL,BARB\u00c9 FERRAN,SAULEDA JAUME,etc.Patients with Obstructive Sleep Apnea Exhibit Genioglossus Dysfunction that Is Normalized after Treatment with Continuous Positive Airway Pressure[J].1999.
- [9]Leger D,Boussuge J,Ohayon MM,etc.Sleep disorders and accidental risk in a large group of regular registered highway drivers.[J].2010,11(10).
- [10]Brown SE,Mosko SS,Davis JA,etc.A retrospective case series of adaptive servoventilation for complex sleep apnea.[J].2011,7(2).
- [11]Lowe AA,Masumi S,Tsuda H,etc.Side effects of boil and bite type oral appliance therapy in sleep apnea patients.[J].2010,14(3).
- [12]Sawyer AM,Weaver TE,Gooneratne NS,etc.A systematic review of CPAP adherence across age groups: clinical and empiric insights for developing CPAP adherence interventions.[J].2011,15(6).