睡眠呼吸暂停综合征(7)
由于OSAS患者比较常见的阻塞是软腭过长同时合并有舌根后缩或肥厚，但阻塞部位因人而异，因此必需对每位OSAS患者的阻塞部位进行确认并作相应的处理才能解决问题。对严重的OSAS患者，常同时伴有中枢神经系统醒觉障碍，化学感受器敏感性低等问题，单一扩大上气道腔容积的手术难于奏效，术后效果不可预测，因此对中、重度OSAS患者，常多用CPAP治疗，而有替代手术治疗的倾势。根据治疗的目的及病情轻重程度，临床最常用的治疗OSAS患者方法如(表-5)。
参 考 文 献
1.黄席珍。睡眠呼吸暂停综合征。钟南山。府军。朱元珏主编；现代呼吸病进展。北京：中国医药科技出版社。1994：553
2.Phillipson EA: Sleep Disorders. In Marray Nadel ed: Textbook of Respiratory Medicine. 2nd. Philadelphia. W.B. Saunders Co. 1994:2301～2324
3.Kryger M. Sleep Breathing Disorders. In Kryger. Roth, Dement ed: Principles and practice of sleep Medicine. 2nd, Philadephia W.B. Saunders Co. 1994;603～736
4.Sulivan CE, lssa F G. Berthon-Jones M, et al: Home treatment of obstructive sleep apnea with continuous positive airways pressure applied through a nose mask, Ball Eur Physiopathol Respir 1984;20:49～54
5.He J. Kryger MH. Zorick FJ. Et al: Mortality and apnea index in obstructive sleep Apnea. Chest 1988;94:9～14
6.黄席珍、肖毅、邹丁等：自动持续正压系统对睡眠呼吸障碍的诊治。中华结核和呼吸杂志1998；2(8)：468～470
7.黄席珍：睡眠呼吸障碍疾患诊治进展与国内16年来的经验。中华结核和呼吸杂志1998；21(8)：463～465
8.Sanders M H, Strollo PJ, JR, et al: Positive Airway Pressure in the Treatment of Sleep-Relatal Breathing Disorders. In Chokroverty s, Daroff RB ed: Sleep Disorders Medicie, Basic Science, technical Considerations, and Clinical Aspects. 2nd ed, Boston, Butterworth Heinemann, 1999:355～384
9.Mortimore I.L, Bradley P.A., Murray J.A.M. et al: Vuulopalatopharyngoplasty May Compromise Nasal CPAP Therapy in Sleep Apnea syndrome, Am J Respir Crit Care Med 1996; 154:1759～1762, 百拇医药
参 考 文 献
1.黄席珍。睡眠呼吸暂停综合征。钟南山。府军。朱元珏主编；现代呼吸病进展。北京：中国医药科技出版社。1994：553
2.Phillipson EA: Sleep Disorders. In Marray Nadel ed: Textbook of Respiratory Medicine. 2nd. Philadelphia. W.B. Saunders Co. 1994:2301～2324
3.Kryger M. Sleep Breathing Disorders. In Kryger. Roth, Dement ed: Principles and practice of sleep Medicine. 2nd, Philadephia W.B. Saunders Co. 1994;603～736
4.Sulivan CE, lssa F G. Berthon-Jones M, et al: Home treatment of obstructive sleep apnea with continuous positive airways pressure applied through a nose mask, Ball Eur Physiopathol Respir 1984;20:49～54
5.He J. Kryger MH. Zorick FJ. Et al: Mortality and apnea index in obstructive sleep Apnea. Chest 1988;94:9～14
6.黄席珍、肖毅、邹丁等：自动持续正压系统对睡眠呼吸障碍的诊治。中华结核和呼吸杂志1998；2(8)：468～470
7.黄席珍：睡眠呼吸障碍疾患诊治进展与国内16年来的经验。中华结核和呼吸杂志1998；21(8)：463～465
8.Sanders M H, Strollo PJ, JR, et al: Positive Airway Pressure in the Treatment of Sleep-Relatal Breathing Disorders. In Chokroverty s, Daroff RB ed: Sleep Disorders Medicie, Basic Science, technical Considerations, and Clinical Aspects. 2nd ed, Boston, Butterworth Heinemann, 1999:355～384
9.Mortimore I.L, Bradley P.A., Murray J.A.M. et al: Vuulopalatopharyngoplasty May Compromise Nasal CPAP Therapy in Sleep Apnea syndrome, Am J Respir Crit Care Med 1996; 154:1759～1762, 百拇医药