Modern therapy of sleep apnea

被引：0

作者：

Toepfer, V. ^{[2
]}

Kirsten, A. ^{[1
]}

Woehrle, H. ^{[3
]}

Teschler, H. ^{[2
]}

Magnussen, H. ^{[1
]}

机构：

[1] Krankenhaus Grosshansdorf, Zentrum Pneumol & Thoraxchirurg, D-22927 Grosshansdorf, Germany

[2] Ruhrlandklin Essen, Abt Schlaf & Beatmungsmed, Essen, Germany

[3] Ambulantes Lungenzentrum Ulm, Gesundheitszentrum Blaubeuren, Ulm, Germany

来源：

INTERNIST | 2008年 / 49卷 / 12期

关键词：

Sleep-disordered breathing; Obstructive sleep apnea; Central sleep apnea; Cheyne Stokes respiration; Adaptive servoventilation;

D O I：

10.1007/s00108-008-2153-5

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

There are different treatment options for obstructive sleep apnea, which are selectively used based on severity of sleep apnea, physical structure of the upper airway, and other medical aspects including co-morbidities. Weight loss as well as avoidance of alcohol and other CNS depressants is generally recommended. Positional training, oral appliances and surgery of the upper airways are used in selected cases. CPAP is the most effective method for treating obstructive sleep apnea irrespective of disease severity. In patients with central sleep apnea or Cheyne-Stokes respiration (CSA/CSR) diagnosis and treatment of the underlying cause is mandatory. Adaptive servo-ventilation appears to be an effective treatment modality for patients with complex sleep apnea and with CSA/CSR that is resistant to CPAP.

引用

页码：1446 / 1451

页数：6

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