Updated Friedman Staging System for Obstructive Sleep Apnea.
Updated Friedman Staging System for Obstructive Sleep Apnea.
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DOI：
10.1159/000470859
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发表时间：
2017-01-01
影响因子：
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通讯作者：
Bonzelaar, Lauren B
中科院分区：
文献类型：
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作者：
Friedman, Michael;Salapatas, Anna M;Bonzelaar, Lauren B
在睡眠医学的实践中，第一步是识别睡眠呼吸暂停高风险患者。几乎每位医生和每家医院都有首选的筛查方法。许多患者问卷调查或调查以及一些客观的物理测量已被建议预测睡眠呼吸暂停的存在。筛查已经建立，实验室和家庭检测广泛提供。通过体格检查进行早期评估可以帮助指导治疗计划。Friedman舌位、舌扁桃体肥大分级和口腔定位对下咽部的影响应用于治疗计划的早期评估，并作为评估阻塞视力的筛查工具。虽然这些筛查工具不能替代药物诱导睡眠内窥镜检查（DISE），但它们在早期评估中至关重要，因为许多患者在评估早期不需要手术或DISE。
In the practice of sleep medicine, the first step is identification of those patients at high risk for sleep apnea. Nearly every physician and every hospital has preferred methods of screening. Many patient questionnaires or surveys as well as some objective physical measurements have been suggested to predict the presence of sleep apnea. Screening is well established, and laboratory and home testing are widely available. An early assessment with a physical examination can help direct treatment planning. The Friedman tongue position, lingual tonsil hypertrophy grading, and the effects of oral positioning on the hypopharynx should be used in early assessment for treatment planning, and as screening tools to assess the sight of obstruction. Although these screening tools are not substitutes for drug-induced sleep endoscopy (DISE), they are crucial in early assessment as many patients do not require surgery or DISE early in the evaluation.