Identifying the patient with sleep apnea - Upper airway assessment and physical examination
Identifying the patient with sleep apnea - Upper airway assessment and physical examination
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DOI：
10.1016/s0030-6665(05)70099-2
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发表时间：
1998-12-01
影响因子：
1.7
通讯作者：
Schwab, RJ
中科院分区：
文献类型：
--
作者：
Goldberg, AN;Schwab, RJ
由于阻塞性睡眠呼吸暂停的最终共同途径是夜间呼吸期间上气道阻塞，因此上气道解剖结构的检查和评估在患者评估中起着核心作用。由于上呼吸道始于鼻和唇，止于喉，因此上呼吸道的完整评估评估了该解剖区域的整个长度，包括骨框架和软组织。虽然这些结构的诊室评估不一定模拟生理睡眠期间这些结构的行为的外观，但是诊室检查可以提供关于睡眠期间阻塞部位的重要信息，这可以帮助指导治疗。
Since the final common pathway for obstructive sleep apnea is obstruction of the upper airway during nocturnal respiration, examination and assessment of the anatomy of the upper airway plays a central role in patient evaluation. Since the upper airway begins at the nose and lips and ends at the larynx, a complete assessment of the upper airway evaluates this entire length of this anatomic region including the bony framework and soft tissue. Though office assessment of these structures does not necessarily mimic the appearance of behavior of these structures during physiologic sleep, the office examination can give important information as to the site of obstruction during sleep that can help direct therapy.