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阻塞性睡眠呼吸暂停低通气综合征患者正压通气治疗 被引量：3

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摘要 阻塞性睡眠呼吸暂停低通气综合征（OSAHS）是指睡眠时上呼吸道反复发生塌陷及阻塞引起呼吸暂停、低通气、打鼾以及日间嗜睡等症状。这种疾病在我国成人中的发病率约为3.5%～4.6%,是心脑血管、代谢、神经及精神等多种疾病的独立危险因素[1,2]。针对OSAHS的治疗方法很多,其中经鼻持续气道正压通气（CPAP）是目前公认的一线治疗方法[3],普遍适用于中、重度OSAHS患者。
作者 叶京英
机构地区 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科
出处 《中国医学文摘（耳鼻咽喉科学）》 2013年第3期125-127,共3页 Chinese Medical Digest(Otorhinolaryngology)
关键词 睡眠呼吸暂停 阻塞性(Sleep Apnea Obstructive) 连续气道正压通气(Continuous POSITIVE AIRWAY Pressure) 滴定分析法(Titrimetry) 自动持续正压呼吸机(auto-continuous POSITIVE AIRWAY pressure) 双水平正压呼吸机(Bi-level POSITIVE AIRWAY PRESSURE ventilator)
分类号 R766.43 [医药卫生—耳鼻咽喉科]
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参考文献9

  • 1Marin JM, Carrizo S J, Vicente E, et ai. Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet, 2005, 365: 1046-1053.
  • 2Steiropoulos P, Tsara V, Nena E, et al. Effect of continuous positive airway pressure treatment on serum cardiovascular risk factors in patients with obstructive sleep apnea-hypopnea syndrome. Chest, 2007, 132: 843-851.
  • 3Littner M, Hirshkowitz M, Davila D, et al. Practice parameters for the use of auto-titrating continuous positive airway pressure devices for titrating pressures and treating adult patients with obstructive sleep apnea syndrome. An American Academy of Sleep Medicine report. Sleep, 2002, 25: 143-147.
  • 4Loredo JS. Ancoli-lsrael S. Kim E J, et al. Effect of continuous positive airway pressure versus supplemental oxygen on sleep quality in obstructive sleep apnea: a placebo-CPAP-controlled study. Sleep, 2006, 29: 564-671.
  • 5Chong MS, Ayalon L, Marler M, et al. Continuous positive airway pressure reduces subjective daytime sleepiness in patients with mild to moderate Alzheimer's disease with sleep disordered breathing. JAm Geriatr Soc, 2006, 54: 777-781.
  • 6Sullivan CE, Issa FG, Berthon-Jones M, et al. Reversal of obstructive sleep apnoea by continuous positive airway pressure applied through the nares. Lancet, 1981, 1: 862-865.
  • 7No authors listed. Indications and standards for use of nasal continuous positive airway pressure (CPAP) in sleep apnea syndromes. American Thoracic Society. Official statement adopted March 1944. Am J Respir Crit Care Med, 1994, 150: 1738- 1745.
  • 8Kushida CA, Chediak A, Berry RB, et al. Clinical guidelinesfor the manual titration of positive airway pressure in patients with obstructive sleep apnea. J Clin Sleep Med, 2008, 4: 157- 171.
  • 9Morgenthaler TI, Aurora RN, Brown T, et al. Practice parameters for the use of autotitrating continuous positive airway pressure devices for titrating pressures and treating adult patients with obstructive sleep apnea syndrome: an update for 2007. An American Academy of Sleep Medicine report. Sleep, 2008, 31 : 141-147.

同被引文献33

引证文献3

二级引证文献7

中国医学文摘（耳鼻咽喉科学）
2013年 第3期

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