Continuous positive airway pressure for obstructive sleep apnea
Continuous positive airway pressure for obstructive sleep apnea
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DOI：
10.1056/nejmct066953
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发表时间：
2007-04-26
影响因子：
158.5
通讯作者：
Basner, Robert C.
中科院分区：
文献类型：
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作者：
Basner, Robert C.
在内科医生的评估中，一名48岁的男子报告说，他的妻子告诉他，他打呼噜的声音很大。进一步的询问显示，每当他久坐时，他都会睡着。他的体检以躯干肥胖症(体重指数[体重指数[体重除以身高的平方]，32)和高血压(血压，150/96毫米汞)而闻名。他被推荐到夜间多导睡眠图(睡眠研究)的睡眠专家那里，发现了阻塞性睡眠呼吸暂停的证据，阻塞性呼吸暂停低通气指数(定义为每小时睡眠中阻塞性呼吸暂停和低呼吸暂停的总次数)为50，动脉血氧饱和度的最低值为65%，19%的睡眠时间内动脉血氧饱和度低于90%。建议采用持续气道正压(CPAP)治疗。
During an evaluation by his internist, a 48-year-old man reports that his wife tells him that he snores loudly. Further questioning reveals that he has been falling asleep whenever sedentary. His physical examination is notable for truncal obesity (body-mass index [ the weight in kilograms divided by the square of the height in meters], 32) and hypertension ( blood pressure, 150/96 mm Hg). He is referred to a sleep specialist for nocturnal polysomnography ( sleep study), which reveals evidence of obstructive sleep apnea, with an obstructive apnea - hypopnea index ( defined as the total number of episodes of obstructive apnea and hypopnea per hour of sleep) of 50, a nadir value for arterial oxygen saturation of 65%, and an arterial oxygen saturation below 90% during 19% of sleep time. Treatment with continuous positive airway pressure (CPAP) is recommended.