体位(侧卧)疗法医学理论基础阐述.docVIP

体位/侧卧疗法的也即是侧卧疗法， 《sleep medicine reviews》杂志影响因子8.513 原文链接：Supine position related obstructive sleep apnea in adults_ pathogenesis and treatment.pdf 主要观点：避免仰卧睡姿有效。 目前临床治疗指南上，此类体位相关OSA（阻塞性睡眠呼吸暂停综合征）的治疗被极大地忽视了。OSA（阻塞性睡眠呼吸暂停综合征）患者中，50-60%为体位因素相关，25-30%为体位因素直接导致。亚洲人群比白种人中患病率更高，67-75%的患者为体位因素相关。 研究发现患者24小时血压下降了，心血管表现提高了。以下各研究，都使用体位干预的治疗方法，令患者睡眠时的避免仰卧，从而改善了45-63.4%的睡眠呼吸暂停低通气指数，显著改善了疾病症状 1.Bignold JJ, Mercer JD, Antic NA, McEvoy RD, Catcheside PG: Accurate position monitoring and improved supine-dependent obstructive sleep apnea with a new position recording and supine avoidance device. J CLIN SLEEP MED 2011;7:376-383. 2.Permut I, Diaz-Abad M, Chatila W, Crocetti J, Gaughan JP, DAlonzo GE, Krachman SL: Comparison of positional therapy to CPAP in patients with positional obstructive sleep apnea. J CLIN SLEEP MED 2010;6:238-243. 3.Oksenberg AS: Positional therapy for sleep apnea: A promising behavioral therapeutic option still waiting for qualified studies. SLEEP MED REV 2014;18:3-5. 4.Skinner MA, Kingshott RN, Filsell S, Taylor DR: Efficacy of the tennis ball technique versus nCPAP in the management of position-dependent obstructive sleep apnoea syndrome. RESPIROLOGY 2008;13:708-715. 2.Lee, J.B., et al., Determining optimal sleep position in patients with positional sleep-disordered breathing using response surface analysis. J Sleep Res, 2009. 18(1): p. 26-35. 《journal of sleep research》杂志影响因子3.347 原文链接：Determining optimal sleep position in patients with positional sleep-disordered breathing using response surface analysis.pdf 主要观点：研究通过数据建模分析，发现侧卧（至少30°）是打鼾率和AHI（呼吸暂停低通气指数）的主要影响因素。理想的睡姿可以减少80%的打鼾率。当侧卧至少30°，背部垫高2cm时，AHI（呼吸暂停低通气指数）可以降低80%。 3.Ravesloot, M.J., et al., The undervalued potential of positional therapy in position-dependent snoring and obstructive sleep apnea-a review of the literature. Sleep Breath, 2013. 17(1): p. 39-49. 《Sleep and Breathing》杂志影响因子2.482 原文链接：The undervalued potential of positional therapy in position-dependent snoring and obstructive sleep apnea-