持续气道正压通气治疗阻塞性睡眠呼吸暂停。

Q4 Medicine
Pneumologia Pub Date : 2016-04-01
Fariz Nurwidya, Agus Dwi Susanto, Dafsah A Juzar, Isao Kobayashi, Faisal Yunus
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引用次数: 0

摘要

阻塞性睡眠呼吸暂停(OSA)是睡眠期间部分或完全上呼吸道阻塞的反复发作,尽管持续呼吸努力,但与心血管疾病的危险因素有关。阻塞性睡眠呼吸暂停综合征的典型症状是反复出现部分或全部咽部阻塞、睡眠中断、发作性喘气,最终出现白天嗜睡。如果不及时治疗,OSA综合征会导致高血压、冠状动脉疾病、充血性心脏病、胰岛素抵抗和死亡。本文就OSA的发病机制和诊断作一综述。我们还关注了持续气道正压通气(CPAP)作为OSA的主要治疗方法。CPAP已被证明不仅对呼吸系统有益,而且对心血管系统和代谢系统也有益。最后,我们简要讨论了使用CPAP的依从性问题,这可能导致OSA患者的依从性降低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Continuous positive airway pressure for the treatment of obstructive sleep apnea.

Obstructive sleep apnea (OSA) is a recurrent episode of partial or complete upper airway obstruction during sleep despite ongoing respiratory efforts and is implicated as the risk factor of cardiovascular disease. The OSA syndrome is typified by recurring partial or total occlusion of the pharynx, sleep fragmentation, episodes of gasping, and, eventually, daytime sleepiness. If it is left untreated, OSA syndrome can cause hypertension, coronary artery disease congestive heart disease, insulin resistance and death. In this review, we describe the pathogenesis and diagnosis of OSA. We also focused on the continuous positive airway pressure (CPAP) as the main therapy for OSA. CPAP has been shown to provide benefit for not only respiratory system, but also for cardiovascular system and metabolic system. Finally, we discussed briefly about the issue of adherence of using CPAP that could contribute to lower compliant in patient with OSA.

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来源期刊
Pneumologia
Pneumologia Medicine-Pulmonary and Respiratory Medicine
CiteScore
0.20
自引率
0.00%
发文量
10
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