The Treatment Strategy of Patients with Sleep Apnea Syndrome in Our Department and Subsequent Course ()
Abstract
It is known that
acute or chronic heart failure can develop in patients with grave sleep apnea
syndrome (SAS), and known to have the social problem including an accident and
the decrease of the labor will. Several medical treatments are now available
for SAS. We considered problems of the treatment based on the practice
situation of our department about the present conditions and subsequent
treatment. The subjects consisted of 306 patients. We measured Epworth
Sleepiness Scale (ESS) and apnea hypopnea index (AHI) after polysomnography in
all patients at the first time and 6 months later. So, it was found that AHI
and ESS decreased when we could be treated in the SAS patients appropriately.
It was confirmed that the choice of the appropriate regimen was important.
Share and Cite:
Fujioka, T. and Yamane, H. (2014) The Treatment Strategy of Patients with Sleep Apnea Syndrome in Our Department and Subsequent Course.
International Journal of Otolaryngology and Head & Neck Surgery,
3, 179-183. doi:
10.4236/ijohns.2014.34033.
Conflicts of Interest
The authors declare no conflicts of interest.
References
|
[1]
|
Rössner, S., Lagerstrand, L., Persson, H.E., et al. (1991) The Sleep Apnea Syndrome in Obesity: Risk of Sudden Death. Journal of Internal Medicine, 230, 135-141.
http://dx.doi.org/10.1111/j.1365-2796.1991.tb00421.x
|
|
[2]
|
Guilleminault, C., Tilkian, A. and Demont, W.C. (1976) The Sleep Apnea Syndrome. Annual Review of Medicine, 27, 465-484.
http://dx.doi.org/10.1146/annurev.me.27.020176.002341
|
|
[3]
|
Kayukawa, Y. (2002) Etiology of Sleep Disordered Breathing. Nipponhyoronsya, 2-8.
|
|
[4]
|
Young, T., Palta, M., Dempsey, J., et al. (1993) The Occurrence of Sleep-Disordered Breathing among Middle-Aged Adults. New England Journal of Medicine, 328, 1230-1235.
http://dx.doi.org/10.1056/NEJM199304293281704
|
|
[5]
|
Johns, M.W. (1991) A New Method for Measuring Daytime Sleepiness: The Epworth Sleepiness Scale. Sleep, 14, 540-545.
|
|
[6]
|
Kenny, P., Pang, B. and Woodson, T. (2007) Expansion Sphincter Pharyngoplasty: A New Technique of Obstructive Sleep Apnea. Otolaryngology Head and Neck Surgery, 137, 110-114.
http://dx.doi.org/10.1016/j.otohns.2007.03.014
|
|
[7]
|
Micheal, F., Hani, Z.R., Ramakrishnan, V., Jonathan, P., et al. (2004) Z-Plalatoplasty: A Technique for Patients without Tonsils. Otolaryngology Head and Neck Surgery, 131, 89-100.
http://dx.doi.org/10.1016/j.otohns.2004.02.051
|