What are the treatment methods of sleep apnea syndrome

Views:5084 Author:Site Editor Publish Time:2021-04-30 08:24:47 Orgin:Site

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Obstructive sleep apnea hypopnea syndrome (OSAHS) is a sleep respiratory disease of unknown etiology. Its clinical manifestations include nocturnal snoring with apnea and daytime sleepiness. Apnea can cause recurrent nocturnal hypoxia and hypercapnia, which can lead to complications such as hypertension, coronary heart disease, diabetes and cerebrovascular disease, traffic accidents, and even sudden death at night. Therefore, OSAHS is a potentially fatal sleep respiratory disease.

Therefore, we need to understand the treatment of this disease.

1. The first choice of treatment recommended by international authoritative guidelines: ventilator therapy

Positive pressure ventilation is the treatment of mild, moderate and severe apnea, which should be provided to all patients with OSA. ——American Sleep Medicine Association [1]

Noninvasive positive airway pressure therapy (ventilator therapy): is the preferred treatment for adult patients with OSAHS. ——Chinese Medical Association [2]

The treatment of OSAHS in the world mainly adopts sleep ventilator, which is called continuous positive airway pressure (CPAP) in medicine. It is suitable for severe snoring and all levels of severity of OSAHS, especially for patients with moderate or above OSAHS.

2. Improve living habits

For mild OSAHS patients, we can take weight loss, lateral sleep, smoking and alcohol cessation to reduce symptoms. But for patients with moderate to severe OSAHS, in addition to changing their living habits, they also need to cooperate with sleep ventilator treatment.

1) Weight loss: obesity is one of the causes of OSAHS. Clinical research shows that [3]. After observing the changes of body weight and AHI (sleep apnea hypopnea index) for about four years, we found that if we lose 10% of body weight, AHI can be reduced by 26%.

2) Lateral sleep: in order to reduce the impact of gravity, sleeping on the side of the body can reduce the symptoms of OSAHS.

3) Smoking cessation: in order to keep the nasopharynx unobstructed, smoking patients should quit smoking, because smoking will stimulate the nasopharynx mucosal edema, resulting in chronic inflammation.

reference

[1]Task Force Members: Lawrence J. Epstein et al. Clinical Guideline for the Evaluation, Management and Long-term Care of Obstructive Sleep Apnea in Adults. Journal of Clinical Sleep Medicine, Vol.5,No. 3, 2009

[2] Sleep apnea hypopnea syndrome diagnosis and treatment guidelines (2011 Revision). Chinese Journal of respiratory tuberculosis medicine 2007-1 (35) 2

[3] Yang Hua, Gu Wenchao, Xi Feng, & Ding Yongjie. (2014). Correlation between AHI and body mass index in patients with obstructive sleep apnea hypopnea syndrome. Frontier medicine, 000 (015), 321-322