睡眠時無呼吸症候群

• 町田 和子

  国立病院機構東京病院呼吸器科

書誌事項

タイトル別名

• Sleep Apnea Syndrome

抄録

Sleep-disordered breathing is common and is associated with lifestyle related disorders, such as obesity, hyperlipemia, hyperglycemia and hypertension. Sleep apnea syndrome (SAS) is defined as being the state where there are more than 30 occurrences of apnea-hypopnea of a period of more than ten seconds during 7 hours of sleep or where there are more than 5 per hour during sleep. SAS is classified by polysomnography into three types: central, obstructive and mixed. Obstructive sleep apnea syndrome (OSAS) or obstructive sleep apnea-hypopnea syndrome (OSAHS) is caused by upper airway obstruction, characterized by snoring, apnea-hypopnea events and frequent arousals and dyspnea during sleep, excessive daytime sleepiness and fatigue. People with severe OSAS have a high risk of being in a traffic accident. Risk factors of OSAS are male, elderly age, obesity, craniofacial deformity, upper airway diseases and menopause. To screen for SAS, the Epworth sleepiness scale, monitoring with a pulseoximeter or with a portable monitor are useful but of limited value, so diagnosis of SAS is done by polysomnography. Treatment of SAS is multifaceted. Although nasal continuous positive airway pressure (nCPAP) is the most popular and effective therapy for OSAS, oral appliance or surgical therapy such as tonsillectomy or uvulopalatopharyngoplasty are also applied in selected cases. The general treatment for SAS is made up of body weight control, change of body position during sleep and pharmacological therapy for problems like nasal obstruction. The main adverse effects of CPAP are related to nasal symptoms, air leakage and nasal mask. Careful management of trouble is necessary for better adherence to CPAP.

収録刊行物

• 医療

  医療 60 (3), 135-142, 2006

  一般社団法人 国立医療学会

キーワード

• 睡眠時無呼吸症候群
• 閉塞性睡眠時無呼吸低呼吸症候群
• ポリソムノグラフィー
• nCPAP(経鼻持続気道陽圧)
• 口腔内装置
• 外科療法
• 交通事故
• Epworthの眠気指数

詳細情報

• CRID: 1390001206315347584
• NII論文ID: 130004316615
• DOI: 10.11261/iryo1946.60.135
• ISSN: 18848729
• ISSN: 00211699
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可