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Obstructive sleep apnoea syndrome: treatment update
1Division of Respiratory Medicine, Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin.
Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
|July 15, 2000
Summary
Obstructive sleep apnoea syndrome (OSAS) is a common disorder causing excessive daytime sleepiness and risks. Treatment focuses on improving quality of life and reducing sleepiness through various interventions.
Area of Science:
- Sleep Medicine
- Pulmonology
- Neurology
Background:
- Obstructive sleep apnoea syndrome (OSAS) is prevalent yet frequently undiagnosed.
- OSAS significantly contributes to patient morbidity and mortality.
- Excessive daytime sleepiness from OSAS impairs work performance and increases accident risks.
Purpose of the Study:
- To outline the primary objectives of OSAS treatment.
- To discuss conservative, oral appliance, and surgical interventions for OSAS.
Main Methods:
- Initiation of conservative measures like weight reduction and alcohol avoidance.
- Utilization of nasal continuous positive airway pressure (CPAP) devices.
- Consideration of oral appliances for mild-to-moderate cases.
- Surgical options for selected OSAS patients.
Main Results:
- Nasal CPAP remains the established standard treatment for OSAS since 1981.
- Oral appliances offer an alternative for managing mild-to-moderate OSAS.
- Surgery provides a viable option for specific patient profiles.
Conclusions:
- Effective management of OSAS is crucial for patient well-being.
- Treatment aims to alleviate daytime sleepiness and enhance life quality.
- A range of therapeutic options exist, from conservative measures to surgery.