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Obstructive Sleep Apnea- Hypopnea Syndrome (OSAHS)

Renji Hospital Pro Wang. Obstructive Sleep Apnea- Hypopnea Syndrome (OSAHS). (International Classification of Sleep Disorders, 2 nd Edition American Academy of Sleep Medicine, 2005). 1. 2.

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Obstructive Sleep Apnea- Hypopnea Syndrome (OSAHS)

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  1. Renji Hospital Pro Wang Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS)

  2. (International Classification of Sleep Disorders, 2nd EditionAmerican Academy of Sleep Medicine, 2005) 1 2 3Sleep related hypoventilation/hypoxemia

  3. Apnea – a temporary absence or cessation of breathing Definitions

  4. OSAHS – a condition in which a person experiences repeated episodes of apnoea because of a narrowing or closure of the pharyngeal airway during sleep, resulting in daytime symptoms, especially excessive sleepiness Definitions

  5. Apnea-hypopnea index (AHI) Definitions -Numbers of apneas and hypopneas/ 1 sleeping hour

  6. Severity of sleep related breathing disorders: • (2009.2) • Normal: AHI<5/h • Mild: AHI: 5-15/h • Moderate: AHI:16-30/h • Sever: AHI>30/h

  7. Daily • Excessive daytime sleepiness • Unrefreshing sleep • Memory disturbances • Morning headache • Depression • Decreased libido • Stomach ache OSAHS: symptoms

  8. Nightly • snoring • apneas • choking, gasping • arousals • sweating • dry mouth • palpitation • nycturia OSAHS: symptoms

  9. (1. or 2.) and 3. OSAHS: diagnostic criteria

  10. Obesitas • Age • Male gender • Pozitive family history of OSAHS • Alcohol consumption before bedtime • Race • Smoking • Sedatives • Craniofacial anomalies • Hypothyroidism, acromegaly Risk factors of OSAHS

  11. Lifestyle management, including weight loss& alcohol withdrawal • Position training • Nasal, pharyngeal surgery (UPPP) • Oral appliances • CPAP – continuous positive airway pressure treatment

  12. CPAP technology

  13. CPAP technology

  14. Treatment:UPPP

  15. Treatment:UPPP

  16. Thank you !

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