诱导睡眠对OSAHS患者PSG的影响
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摘要
<正>OSAHS是一种常见的睡眠呼吸障碍疾病,患者常表现为睡眠打鼾明显、呼吸暂停、白日嗜睡、倦怠,严重影响自己及他人生活,严重者常导致心血管、呼吸、内分泌、神经、泌尿生殖系统等多系统并发症,严重影响患者的生活质量和寿命。我国流行病学调查显示OSAHS发病率为2%~15%,中年以上人群OSAHS的发病率在10%以上~(〔1〕)。PSG监测结果是诊断的金标准。纤维喉镜检查、食管测压、头影测量及咽腔CT、MRI测量可判断阻塞部
引文
[1]李延忠.睡眠呼吸障碍性疾病[M].济南:山东科学出版社,2005:172-172.
[2]中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉头颈外科学分会咽喉学组.阻塞性睡眠呼吸暂停低通气综合征诊断和外科治疗指南[J].中华耳鼻咽喉头颈外科杂志,2009,44(2):95-96.
[3]BACHAR G,NAGERIS B,FEINMESSER R,et al.Novel grading system for quantifying upper-airway obstruction on sleep endoscopy[J].Lung,2012,190:313-318.
[4]IWANAGA K,HASEGAWA K,SHIBATA N,et al.Endoscopic examination of obstructive sleep apnea syndrome patients during drug-induced sleep[J].Acta Otolaryngol Suppl,2003,550:36-40.
[5]JIANG T,CHAO J,CAO J,et al.The value of video laryngoscope in localization diagnosis of upper airway stricture in obstructive sleep apnea-hypopnea syndrome during drug-induced sleep[J].Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi,2008,22:260-262.
[6]智铁铮,张莉,高国风,等.药物诱导睡眠下纤维鼻咽喉镜和多导睡眠仪的同步检查[J].中华耳鼻咽喉科杂志,2003,38(5):383-386.
[7]江满杰,周玫,黄伟,等.螺旋CT在阻塞性睡眠呼吸暂停低通气综合征患者咽壁顺应性中的应用[J].临床耳鼻咽喉头颈外科杂志,2007,21(3):97-99.
[8]李彦如,韩德民,叶京英,等.阻塞性睡眠呼吸暂停患者咽腔阻塞的整夜定位及影响因素分析[J].中华耳鼻咽喉头颈外科杂志,2006,41(6):437-441.
[9]马云鹏,暴继敏,孟大为.OSAHS患者清醒和睡眠状态下咽腔CT测量[J].中国耳鼻咽喉头颈外科杂志,2006,13(2):117-119.
[10]岑人丽,陈苓,曾庆思,等.OSAHS患者清醒及诱导睡眠状态下多层螺旋CT扫描方法及临床价值[J].中国医学影像学杂志,2008,16(3):189-191.
[11]吴新民.咪唑安定的临床应用[J].中华麻醉学杂志,1998,18(7):387-387.
[12]GENTIL B,TEHINDRAZANARIVELO A,LIENHART A,et al.Respiratory effects of midazolam in patients with obstructive sleep apnea syndromes[J].Ann Fr Anesth Reanim,1994,13:275-279.
[13]STEINHART H,KUHN-LOHMANN J,GEWALT K,et al.Upper airway collapsibility in habitual snorers and sleep apneics:evaluation with drug-induced sleep endoscopy[J].Acta Otolaryngol,2000,120:990-994.
[2]中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉头颈外科学分会咽喉学组.阻塞性睡眠呼吸暂停低通气综合征诊断和外科治疗指南[J].中华耳鼻咽喉头颈外科杂志,2009,44(2):95-96.
[3]BACHAR G,NAGERIS B,FEINMESSER R,et al.Novel grading system for quantifying upper-airway obstruction on sleep endoscopy[J].Lung,2012,190:313-318.
[4]IWANAGA K,HASEGAWA K,SHIBATA N,et al.Endoscopic examination of obstructive sleep apnea syndrome patients during drug-induced sleep[J].Acta Otolaryngol Suppl,2003,550:36-40.
[5]JIANG T,CHAO J,CAO J,et al.The value of video laryngoscope in localization diagnosis of upper airway stricture in obstructive sleep apnea-hypopnea syndrome during drug-induced sleep[J].Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi,2008,22:260-262.
[6]智铁铮,张莉,高国风,等.药物诱导睡眠下纤维鼻咽喉镜和多导睡眠仪的同步检查[J].中华耳鼻咽喉科杂志,2003,38(5):383-386.
[7]江满杰,周玫,黄伟,等.螺旋CT在阻塞性睡眠呼吸暂停低通气综合征患者咽壁顺应性中的应用[J].临床耳鼻咽喉头颈外科杂志,2007,21(3):97-99.
[8]李彦如,韩德民,叶京英,等.阻塞性睡眠呼吸暂停患者咽腔阻塞的整夜定位及影响因素分析[J].中华耳鼻咽喉头颈外科杂志,2006,41(6):437-441.
[9]马云鹏,暴继敏,孟大为.OSAHS患者清醒和睡眠状态下咽腔CT测量[J].中国耳鼻咽喉头颈外科杂志,2006,13(2):117-119.
[10]岑人丽,陈苓,曾庆思,等.OSAHS患者清醒及诱导睡眠状态下多层螺旋CT扫描方法及临床价值[J].中国医学影像学杂志,2008,16(3):189-191.
[11]吴新民.咪唑安定的临床应用[J].中华麻醉学杂志,1998,18(7):387-387.
[12]GENTIL B,TEHINDRAZANARIVELO A,LIENHART A,et al.Respiratory effects of midazolam in patients with obstructive sleep apnea syndromes[J].Ann Fr Anesth Reanim,1994,13:275-279.
[13]STEINHART H,KUHN-LOHMANN J,GEWALT K,et al.Upper airway collapsibility in habitual snorers and sleep apneics:evaluation with drug-induced sleep endoscopy[J].Acta Otolaryngol,2000,120:990-994.