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相关概念视频

Sleep Apnea01:21

Sleep Apnea

Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
Other Pulmonary Disorders01:17

Other Pulmonary Disorders

Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
Respiratory Volumes and Capacities I01:26

Respiratory Volumes and Capacities I

Assessing the respiratory rate and rhythm for a complete minute is crucial for evaluating the breathing pattern. Even a minor increase in the patient's average respiratory rate, by as little as three to five breaths per minute, is an early and vital indicator of respiratory distress. Patients with a respiratory rate exceeding twenty-four breaths per minute require close monitoring to determine the physiological alterations. This careful observation is essential for prompt recognition and...
Alterations in Respiration II01:30

Alterations in Respiration II

There are numerous types of normal and abnormal respiration. Based on ventilatory movements, breathing patterns are classified as regular, deep, or shallow. Examples include Biot's breathing, Cheyne-Stokes respiration, Kussmaul's breathing, hyperventilation, and hypoventilation. Each pattern is clinically significant and aids in evaluating patients.
In Biot's breathing, the respiratory rate and depth are irregular, alternating between periods of deep gasping and apnea. Common causes include...
Sleep-Wake Cycles01:24

Sleep-Wake Cycles

Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and  rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
Chronic Obstructive Pulmonary Disease01:24

Chronic Obstructive Pulmonary Disease

COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...

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相关实验视频

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Acupoint Application Combined with Ear Plaster Therapy for Treating Sleep Disorders with Acute Exacerbation of Chronic Obstructive Pulmonary Disease
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Acupoint Application Combined with Ear Plaster Therapy for Treating Sleep Disorders with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

Published on: October 18, 2024

成年人阻塞性睡眠呼吸暂停

Amy S Jordan1, David G McSharry2, Atul Malhotra3

  • 1University of Melbourne, Melbourne, VIC, Australia; Institute for Breathing and Sleep, Melbourne, VIC, Australia.

Lancet (London, England)
|August 6, 2013
PubMed
概括

阻塞性睡眠呼吸暂停 (OSA) 是一种常见的睡眠障碍,导致呼吸道崩和氧气流失. 持续的正气道压力是主要的治疗方法,尽管对于那些不耐受的人来说,还有其他选择.

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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
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Auricular Acupuncture as a Traditional Chinese Medicine Therapy for Chronic Obstructive Pulmonary Disease Combined with Sleep Disorders
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Auricular Acupuncture as a Traditional Chinese Medicine Therapy for Chronic Obstructive Pulmonary Disease Combined with Sleep Disorders

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Acupoint Application Combined with Ear Plaster Therapy for Treating Sleep Disorders with Acute Exacerbation of Chronic Obstructive Pulmonary Disease
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Auricular Acupuncture as a Traditional Chinese Medicine Therapy for Chronic Obstructive Pulmonary Disease Combined with Sleep Disorders
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Auricular Acupuncture as a Traditional Chinese Medicine Therapy for Chronic Obstructive Pulmonary Disease Combined with Sleep Disorders

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科学领域:

  • 睡眠医学 睡眠医学
  • 呼吸系统医学 呼吸系统医学
  • 心脏病学 心脏病学

背景情况:

  • 阻塞性睡眠呼吸暂停 (obstructive sleep apnea,OSA) 是一种普遍的疾病,其特点是睡眠期间经常出现上呼吸道崩.
  • 这种崩导致间歇性缺氧和碎片化睡眠,呈现出像打,目击性呼吸暂停和白天嗜睡等症状.
  • 病变发生是多因素的,涉及解剖学,神经学和肌肉因素,肥胖,男性性别和吸烟是关键风险因素.

研究的目的:

  • 审查阻塞性睡眠呼吸暂停的发病,风险因素和临床后果.
  • 讨论OSA的既定和替代治疗方式.
  • 突出OSA与心血管和代谢疾病的关联.

主要方法:

  • 关于阻塞性睡眠呼吸暂停的文献综述.
  • 综合有关病原,风险因素和临床影响的信息.
  • 目前治疗策略的概述,包括正气道压力,牙科设备,手术和生活方式改变.

主要成果:

  • OSA与显著的发病率有关,包括嗜睡,增加事故风险和可能的全身高血压.
  • 建议与心肌梗塞,心力衰竭,中风和糖尿病有关,但需要进一步的明确证据.
  • 持续正气道压力 (CPAP) 显示出60-70%的坚持,采用双级PAP和自适应式伺服通风作为替代方案.

结论:

  • 喘是一种常见的疾病,具有严重的健康影响,需要有效的管理.
  • CPAP仍然是黄金标准治疗,但患者的坚持和耐受性是关键因素.
  • 包括替代疗法和生活方式改变在内的多模式方法对于有效管理OSA至关重要.