课件：osahs.ppt

ObesityShort fat neckLarge tonsilsFacial abnormality Examination Adenotonsillar hypertrophy Glossoptosis Mandibular retrusion The patients with OSAHS will have a troublesome life. Daytime fatigue Drowsiness The patients with OSAHS will have a troublesome life. Disturbing the bed companion. The patients with OSAHS will have a troublesome life. Traffic Accidents Diagnosis of OSAHS Clinical diagnosis: ?????? Loud Snoring 95.8 % ?????? Excessive Daytime Sleepiness 86.7% ????? ? Restless and Unrefreshing sleep 40 .2 %  ?????? Morning headache 31.4 % ?????? Choking at night 21.5 % ?????? Reduced libido 26.3 % PSG Polysomonography,PSG: The golden stander for OSAHS. electroencephalogram,EEG（二导脑电图）、 electrooculogram,EOG （二导眼电图)、 include electromyogram，EMG （下颌颏肌电图）、 electrocardiogram,ECG （心电图)、 Airflow of the nose and mouse Thoracic and abdominal movement saturation of blood oxygen body position Determining the site of airway obstruction in OSAHS Flexible transnasal endoscopy Airway pressure measurements OSAHS 睡眠时上气道反复发生坍塌、阻塞引起的睡眠时呼吸暂停和通气不足，伴有打鼾、睡眠结构紊乱，频繁发生血氧饱和度下降、白天嗜睡等症状。 睡眠中呼吸暂停/低通气反复发作超过30次以上，或睡眠呼吸暂停/低通气指数（index of apnea/ hypopnea, AHI；呼吸暂停/低通气次数∶睡眠时间）≥5（次/小时）。 OSAHS的诊断标准 index mild moderate severeAHI 5—15 15—30 30SaO2 85—90 65—85 65 The Severity Level of OSAHS Why to treat the OSAHS Survival rate Normal person OSAHS Years Treatments for OSAHS 1. Behaviour Management Body weight reduction Sleep on the side Good sleep hygieneAvoid alcohol and sedative Stop smoking General treatment measures 2．In patients with severe grades of OSAHS or an unsuccessful trial with surgical tratment . CPAP/BiPAP The principleof CPAP The unstable portions of the airwa