Sleep apnea syndrome is a symptom that occurs during sleep at night. Common causes of this symptom include nasal polyps, enlarged tonsils, deviated nasal septum, etc. The treatment of this disease requires classified treatment, the most common of which are central type and obstructive type. 1. Treatment 1. Central type can be treated with artificial mechanical ventilation with intermittent or continuous positive pressure ventilation, oxygen inhalation, and oral administration of acetazolamide 125-250 mg before bedtime to control symptoms. 2. Blocking (1) General treatment: oxygen inhalation, avoidance of hypnotic drugs, alcohol, and male hormones, and weight loss. (2) Drug treatment: such as intramuscular injection of progesterone 20-30 mg, twice a day for 2-3 weeks, which has the effect of stimulating the respiratory center. Acetazolamide 250 mg orally, 3 times a day; protiline 5-30 mg orally before bedtime. (3) Medical devices: such as tongue positioners, orthodontic devices, and nasal continuous positive airway pressure (CPAP) can control symptoms. (4) Surgical treatment: appropriate surgical treatment is adopted according to different causes. 3. The treatment of mixed type refers to the treatment of central SAS. 2. Prognosis Severe cases may lead to cardiopulmonary failure or even sudden death. 3. Inspection Methods Sleep apnea syndrome examination method Pulmonary function tests, arterial blood gas analysis, and ventilatory response to CO2 stimulation are generally normal during wakefulness. Electroencephalogram, electrooculogram, and mentalis electromyography can determine sleep apnea and its classification. |
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