患有阻塞性睡眠呼吸暂停和持续正气道压力患者的耳鼻喉学表现:系统性审查
Jacek M Czubak1, Karolina Stolarczyk2, Marcin Frączek2
1Institute of Medical Sciences, University of Opole, Poland.
概括
耳鼻喉 (ENT) 问题在阻塞性睡眠呼吸暂停综合征 (OSAS) 患者和使用持续正气道压力 (CPAP) 治疗的患者中很常见. 识别这些症状有助于诊断OSAS并预防并发症.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 睡眠障碍,特别是阻塞性睡眠呼吸暂停综合征 (OSAS),显著影响公众健康和生活质量.
- 经常忽视OSAS,持续正气道压力 (CPAP) 使用和耳鼻喉 (ENT) 症状之间的联系.
- 耳鼻喉症状可能是OSAS的指标,需要进一步调查.
研究的目的:
- 系统地审查和综合现有关于OSAS患者和CPAP使用者的耳鼻喉表现的流行率和类型的文献.
- 为了突出OSAS,CPAP疗法和ENT疾病之间的未被承认的关联.
- 强调识别 ENT 症状的重要性,以便及时诊断和管理 OSAS.
主要方法:
- 按照PRISMA声明指南进行了系统审查.
- 在MEDLINE数据库中对1979年至2021年3月以英语出版的研究进行了搜索.
- 包括的研究调查了OSAS,CPAP和耳鼻喉症状之间的联系. 总共分析了29篇文章.
主要成果:
- 该审查确定了29篇相关文章,重点关注耳朵 (12项研究),鼻子 (11项研究) 和喉 (6项研究) 功能障碍.
- 常见的耳鼻喉症状包括听力和前体障碍,脑脊液泄漏,尤斯塔希管功能障碍,鼻炎,味觉和嗅觉障碍,消化不良,口腔干燥和胃食道逆流.
- 这些症状虽然有不同的病因,但与OSAS和CPAP使用有关.
结论:
- 耳鼻喉学症状在患有OSAS和CPAP的患者中相对较为常见.
- 了解这些ENT症状可以改善OSAS的诊断过程.
- 与OSAS相关的ENT症状的早期识别可以导致及时诊断,并可能减轻严重的健康并发症.
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