目前对阻塞性睡眠呼吸暂停的医学治疗:叙述性综述

S. Swain
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引用次数: 0

摘要

睡眠中反复出现的上气道塌陷会导致阻塞性睡眠呼吸暂停(OSA)。OSA 是一种严重的临床症状,患者经常在睡眠时呼吸停止或减弱。这导致睡眠不安稳、不完整,从而加重晨起头痛和白天嗜睡等症状。这篇综述文章仅侧重于目前对 OSA 的医学治疗。它还将促进进一步研究,提高人们对目前 OSA 医学治疗的认识。我们搜索了有关当前 OSA 医学治疗的最新研究文章。我们检索了 PubMed、Scopus、Medline 和 Google Scholar 在线数据库。心律失常、抑郁症、高血压和冠状动脉疾病是与 OSA 相关的疾病。可预测的临床症状包括肥胖、颈围增大、睡觉时喘气和打鼾。肥胖、高血压、经常打鼾和嗜睡者应被怀疑患有 OSA。准确诊断 OSA 的一项重要检查是夜间多导睡眠图检查。由于 OSA 是一种慢性疾病,因此需要采取跨学科的长期策略。管理 OSA 的第一步是对患者进行教育。要治疗 OSA,改变生活方式至关重要,包括减肥、换一种睡姿、戒酒和禁用某些药物。在治疗 OSA 时,气道正压是一个重要的选择。由于 OSA 对个人和整个社会都有影响,因此需要进一步研究,以找到治疗这种病态临床症状的新方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Current Medical Treatment of Obstructive Sleep Apnoea: A Narrative Review
Recurrent episodes of upper airway collapse during sleep cause obstructive sleep apnoea (OSA). Patients with OSA, a serious clinical condition, frequently halt or reduce their breathing while they are asleep. This results in non-restful, fragmented sleep, which exacerbates symptoms such as morning headaches and drowsiness during the day. This review article focuses only on the current medical treatment of OSA. It will also catalyse further study and better awareness of the current medical treatment of OSA. A search was conducted for recent research articles on current medical treatment for OSA. We searched the PubMed, Scopus, Medline and Google Scholar online databases. Heart arrhythmias, depression, hypertension and coronary artery disease are among the medical disorders linked to OSA. Clinical symptoms that are predictive include obesity, enlarged neck circumferences, gasping when sleeping and loud snoring. Those who are obese, hypertensive, frequent snorers and hyper-somnolent should be suspected of having OSA. An essential test for accurately diagnosing OSA is overnight polysomnography. As OSA is a chronic illness, a long-term, interdisciplinary strategy is required. The first step in managing OSA is patient education. For treatment of OSA, lifestyle changes including losing weight, switching to a different sleeping position, abstaining from alcohol and using certain drugs are crucial. When treating OSA, positive airway pressure is a crucial choice. Since OSA affects both the person and society as a whole, further investigation is needed to find novel treatment approaches for this morbid clinical condition.
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