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睡眠呼吸暂停中的争议

Tal Sastow¹, Nabil Moussa², Edward Zebovitz²

¹Oral and Maxillofacial Surgery, The Brooklyn Hospital Center, 155 Ashland Pl, Brooklyn, NY 11201, USA.

Dental clinics of North America

|November 11, 2023

概括

阻塞性睡眠呼吸暂停 (OSA) 的管理是有争议的,在诊断和治疗坚持方面存在挑战. 手术选择为改善特定患者的生活质量提供了替代方案.

科学领域:

睡眠医学睡眠医学
耳鼻喉科耳鼻喉科耳鼻喉科
呼吸系统医学呼吸系统医学

背景情况:

阻塞性睡眠呼吸暂停 (OSA) 影响全球数百万人,但其病理生理学和长期影响尚未完全理解.
目前OSA的诊断和治疗策略在临床医生中存在持续的争议.
持续正气道压力 (CPAP) 是中度至重度OSA的标准,但坚持通常很差.

研究的目的:

讨论阻塞性睡眠呼吸暂停 (OSA) 的诊断和管理中的当前争议.
突出外科治疗作为改善OSA患者生活质量的潜在替代方案.
强调基于患者特定因素的手术干预的个性化性质.

主要方法:

审查关于阻塞性睡眠呼吸暂停诊断和管理的现有文献.
分析围绕当前治疗方式的争议,包括CPAP疗法.
探索外科手术作为替代治疗途径.

主要成果:

对于OSA的CPAP治疗的坚持往往很低,质疑其除了减轻症状之外的普遍有效性.
手术干预为精选的OSA患者群体提供了可行的替代方案.
对OSA进行手术的选择取决于个体患者的解剖学和偏好.

结论:

阻塞性睡眠呼吸暂停的治疗仍然是复杂和有争议的.
手术干预提供了一个有前途的途径,以提高OSA患者的生活质量,这些患者的CPAP坚持不佳.
个性化方法对于优化OSA治疗结果至关重要,特别是在外科选择中.

关键词:

在这里,AHI AHI.在CPAP中使用CPAP.这是一个DOME DOME.马尔佩 (MARPE) 是一个标志.这就是MMA.在OSA中使用OSA.这就是为什么PSGPSG PSG 阻塞性睡眠呼吸暂停 (SOP) 的情况.

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