《阻塞性睡眠呼吸暂停综合征治疗临床指南》(2013)解读  

Interpretation of clinical guidelines on treatment of obstructive sleep apnea syndrome

作　　者：王玮[1] 

机构地区：[1]中国医科大学附属第一医院呼吸科,沈阳110001

出　　处：《中国实用内科杂志》2014年第2期174-176,共3页Chinese Journal of Practical Internal Medicine

摘　　要：美国内科医师学院近期发表了阻塞性睡眠呼吸暂停综合征(OSAS)治疗指南,该指南强烈建议持续气道正压(CPAP)治疗应作为OSAS患者的初始治疗手段,所有确诊OSAS的超重和肥胖患者应积极减肥,口腔矫治器(MADs)可作为CPAP的替代治疗,手术不作为OSAS的初始治疗,药物不作为OSAS的治疗方法。Recently,the American College of Physicians （ACP） published the guideline on the management of obstructive sleep apnea syndrome （OSAS） in aduhs. It strongly recommends continuous positive airway pressure （CPAP） treatment as initial therapy for OSAS patients. All overweight and obese OSAS patients should be encouraged to lose weight. Use of man- dibular advancement devices （MADs） is an alternative therapy to CPAP for OSAS patients who prefer MADs or for those with adverse effects associated with CPAP. Surgery should not be used as an initial treatment of OSAS. Phamlacologic thera- py should not be prescribed for OSAS treatment.

关 键 词：阻塞性睡眠呼吸暂停 持续气道正压通气 口腔矫治器 

分 类 号：R56[医药卫生—呼吸系统]