体崩模式对单边上呼吸道刺激疗法的影响
E Kant1,2,3, J A Hardeman4, M P Copper5
1Department of Otorhinolaryngology Head and Neck Surgery, Saint Antonius Hospital, Koekoekslaan 1, 3435, CM, Nieuwegein, the Netherlands.
Sleep & breathing = Schlaf & Atmung
|October 10, 2023
概括
低分泌神经刺激是有效的阻塞性睡眠呼吸暂停患者与混合体崩. 这种疗法在患有上侧前后和下侧同心倒塌的患者中显示出相似的积极结果,与纯粹的前后倒塌相比.
科学领域:
- 睡眠医学 睡眠医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 生物医学工程 生物医学工程
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 治疗通常涉及下神经刺激 (HNS).
- 之前的研究表明,体缩模式会影响HNS的疗效.
- 在OSA中,上部前后部与下部同心崩的特定体崩模式仍未得到充分研究.
研究的目的:
- 为了评估HNS在OSA患者的治疗结果,这些患者具有特定的混合体崩模式.
- 为了比较这些结果与表现为纯正前后垂体崩的患者.
主要方法:
- 一个回顾性单中心队列研究.
- 包括植入上呼吸道刺激装置的患者,并随访1年.
- 对比了10名患有上部前后/下部同心收缩的患者和56名患有纯粹的前后收缩的患者的结果.
主要成果:
- 这两组在呼吸道结果上均显示出相似的改善.
- 平均呼吸暂停-呼吸暂停指数的减少是可比的 (26.9对23.9事件/小时).
- 两组之间氧气不和指数的变化也相似.
结论:
- 患有上方前后和下方同心塌的患者是HNS治疗的合适候选人.
- 这些患者的下面的毛皮可能充当过渡区,而不是真正的集中式崩.
- 对于具有这种特定状解剖的OSA患者来说,HNS提供了一种可行的治疗选择.
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