Positional Therapy for Obstructive Sleep Apnea: Therapeutic Modalities and Clinical Effects

Q4 Medicine
Ki-Il Lee, Ji Ho Choi
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引用次数: 0

Abstract

Obstructive sleep apnea (OSA) is characterized by recurrent occurrences of partial or complete collapse of the upper airway during sleep, leading to shallow breathing or breathing pauses. These repeated breathing disruptions can result in intermittent hypoxia, hypercapnia, hyperactivity of the sympathetic nervous system, and fragmented sleep patterns. Left untreated, OSA can have significant health implications, including various symptoms and serious consequences. Positional OSA is a subtype of OSA where during sleep, the severity of apnea events is significantly higher in the supine position. This condition can worsen respiratory parameters, such as apnea/hypopnea events, oxygen desaturation and arousals, and cardiovascular burdens. Positional therapy is a treatment approach used for patients with positional OSA. Typically, positional therapy involves encouraging the patient to avoid sleeping on their back, and instead sleep in a lateral position. Various modalities for positional therapy exist, including positional training using a tennis ball, alarm, or vest, and sleep positioning pillows. Novel electric-operated postural devices have also been developed. Positional therapy has shown promise in improving apneic events and lowest oxygen saturation in patients with position-dependent sleep apnea. In comparison to positive airway pressure treatment, positional therapy has been reported to demonstrate non-inferior effects, while achieving better compliance. Consequently, positional therapy can be a cost-effective and non-invasive therapeutic alternative for managing positional OSA.
体位疗法治疗阻塞性睡眠呼吸暂停:治疗方式和临床效果
阻塞性睡眠呼吸暂停(OSA)的特点是在睡眠中反复出现部分或完全的上呼吸道塌陷,导致浅呼吸或呼吸暂停。这些反复的呼吸中断可导致间歇性缺氧、高碳酸血症、交感神经系统过度活跃和睡眠模式不连贯。如果不及时治疗,阻塞性睡眠呼吸暂停会对健康产生重大影响,包括各种症状和严重后果。体位性OSA是OSA的一种亚型,在睡眠中,仰卧位时呼吸暂停事件的严重程度明显更高。这种情况可使呼吸参数恶化,如呼吸暂停/低通气事件、氧去饱和和觉醒,以及心血管负担。体位疗法是一种治疗体位性阻塞性睡眠呼吸暂停的方法。通常,体位疗法包括鼓励患者避免仰卧睡,而是侧卧睡。体位疗法有多种形式,包括使用网球、闹钟或背心和睡眠定位枕头进行体位训练。新型的电动姿势装置也被开发出来。体位治疗已显示出改善呼吸暂停事件和最低氧饱和度患者的位置依赖性睡眠呼吸暂停的希望。与气道正压治疗相比,体位治疗显示出良好的效果,同时达到更好的依从性。因此,体位治疗是一种具有成本效益和非侵入性的治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Sleep Medicine Research
Sleep Medicine Research Medicine-Neurology (clinical)
CiteScore
0.90
自引率
0.00%
发文量
20
审稿时长
8 weeks
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