BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 肥胖
  • 男性
  • 颌面结构异常
  • 白天过度嗜睡
全部具体信息

其他诊断因素

  • 心血管疾病
  • 体重增加
  • 颈围增大
  • 内分泌疾病
全部具体信息

危险因素

  • 肥胖
  • 男性
  • 绝经后（女性）
  • 颈围增大
全部具体信息

诊断性检查

首要检查

  • 多导睡眠图监测（PSG）
  • 便携多导睡眠图监测
  • 清醒状态下的纤维内镜检查
全部具体信息

新兴检查

  • 磁共振电影成像
  • 药物诱导睡眠状态下的内镜检查
  • 心血管和神经检查
  • 生物化学和基因标志物检测
全部具体信息

治疗流程

急性

呼吸暂停低通气指数 (AHI) 或呼吸事件指数 (REI)≥30 次/小时：没有散在分布的解剖病变

5 次/小时≤AHI 或 REI＜30 次/小时：没有散在分布的解剖病变

AHI 或 REI≥5 次/小时：存在散在分布的解剖病变

疾病持续状态

手术后持续的OSA

贡献者

Assistant Clinical Professor

Department of Otolaryngology

Icahn School of Medicine at Mount Sinai

New York

NY

利益冲突披露
OJ is an unpaid advisor for ImThera medical and has received research funding support from ImThera Medical for the THN2 and THN3 FDA clinical trials. This topic discusses implantable hypoglossal neurostimulation devices and ImThera Medical is 1 of 3 companies in this field. Discussion is limited to available scientific evidence and there is no contractual agreement to disseminate product information. OJ is a consultant for Nyxoah Medical, which is developing a new implantable hypoglossal neurostimulation device. This device is not mentioned in the topic, as no published studies exist at the time of publication. The general topic is included in the topic. There is no contractual agreement to disseminate product information.

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Professor of Medicine

Bahiana School of Medicine and Public Health

Brazil

利益冲突披露
CD has been reimbursed by Sanofi-Aventis, Novartis, Merck Sharp Dohme, and Eli Lilly as investigator of clinical trials.

Adjunct Assistant Professor

University of Utah

Director

Pulmonary & Critical Care Research

IHC Urban South Intermountain Utah Valley Pulmonary Clinic

Provo

UT

利益冲突披露
KMS declares that he has no competing interests.

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