睡眠呼吸暂停低通气睡眠监测课件

IntroductionDamnThatBoySaidtheoldmenHesgonetosleepagainVeryEXtraordinaryboy,saidMrPickwick.DoeshealwayssleepinthiswayIntroduction1IntroductionSleep"saidtheoldgentleman,he'salwaysasleep".Goesonerrandsfastasleepandsnoresashewaitsattable.In1837CharlesDickens.inoneofhisnovelsdescribessomeofthefeaturesofthediseasethatIamgoingtopresentIntroduction2IntroductionObstructivesleepapneasyndrome(OSAS)isbyfarthesinglemostcommondisorderseenatsleepcentersandisresponsibleformoremortalityandmorbiditythananyothersleepdisorderIntroduction3IntroductionAlthoughOSASwasidentifiedmorethan3decadesago,themajorityofphysicianshavehadnoformaltraininginrecognizingortreatingtheconditionIntroduction4IntroductionFurthermore,newinformationconcerningthediagnosisandtreatmentofobstructedbreathingduringsleepisemergingfasterthanolderconceptscanbedisseminatedTheresultisthatmostpatientswithtreatablesleep-relatedbreathingdisorderscurrentlyremainundiagnosedIntroduction5DefinitionsOSAisdescribeasrepetitiveepisodesofcompleteorpartialupperairwayobstructionduringsleep.AsaresultaffectedpersonshaveunrestfulsleepandexcessivedaytimesleepinessDefinitions6DefinitionsOftenpresentsotherfeatures,suchasloudsnoring,morningheadaches,anddrymouthonawakening.Duringobstructiveapnea,respiratoryeffortspersist,butairflowisabsentatthenoseandmouthwhileoncentralapneabothairflowandrespiratoryeffortsareabsentDefinitions7OTHERDEFINITIONSOFOBSTRUCTIVESLEEPAPNEAAH1>10(46)●AH>15(12)●AH|>5+symptoms(49)◆A|>2(23)A|>20(25)AHI=Apnea-plus-hypopneaindex,AlapneaIndexOTHERDEFINITIONSOF8EpidemiologyTheprevalenceofOSAintheUnitedStatesis2%to4%inmiddle-agedadultswhichissimilarinmagnitudetotheprevalenceofmajordiseasessuchasAsthmaandDiabetesEpidemiology9Epidemiology4%/2%4%oofmenand2%ofwomen,aged30-60,havediagnosedsleepapneaEpidemiology10睡眠呼吸暂停低通气睡眠监测课件11睡眠呼吸暂停低通气睡眠监测课件12睡眠呼吸暂停低通气睡眠监测课件13睡眠呼吸暂停低通气睡眠监测课件14睡眠呼吸暂停低通气睡眠监测课件15睡眠呼吸暂停低通气睡眠监测课件16睡眠呼吸暂停低通气睡眠监测课件17睡眠呼吸暂停低通气睡眠监测课件18睡眠呼吸暂停低通气睡眠监测课件19睡眠呼吸暂停低通气睡眠监测课件20睡眠呼吸暂停低通气睡眠监测课件21睡眠呼吸暂停低通气睡眠监测课件22睡眠呼吸暂停低通气睡眠监测课件23睡眠呼吸暂停低通气睡眠监测课件24睡眠呼吸暂停低通气睡眠监测课件25睡眠呼吸暂停低通气睡眠监测课件26IntroductionDamnThatBoySaidtheoldmenHesgonetosleepagainVeryEXtraordinaryboy,saidMrPickwick.DoeshealwayssleepinthiswayIntroduction27IntroductionSleep"saidtheoldgentleman,he'salwaysasleep".Goesonerrandsfastasleepandsnoresashewaitsattable.In1837CharlesDickens.inoneofhisnovelsdescribessomeofthefeaturesofthediseasethatIamgoingtopresentIntroduction28IntroductionObstructivesleepapneasyndrome(OSAS)isbyfarthesinglemostcommondisorderseenatsleepcentersandisresponsibleformoremortalityandmorbiditythananyothersleepdisorderIntroduction29IntroductionAlthoughOSASwasidentifiedmorethan3decadesago,themajorityofphysicianshavehadnoformaltraininginrecognizingortreatingtheconditionIntroduction30IntroductionFurthermore,newinformationconcerningthediagnosisandtreatmentofobstructedbreathingduringsleepisemergingfasterthanolderconceptscanbedisseminatedTheresultisthatmostpatientswithtreatablesleep-relatedbreathingdisorderscurrentlyremainundiagnosedIntroduction31DefinitionsOSAisdescribeasrepetitiveepisodesofcompleteorpartialupperairwayobstructionduringsleep.AsaresultaffectedpersonshaveunrestfulsleepandexcessivedaytimesleepinessDefinitions32DefinitionsOftenpresentsotherfeatures,suchasloudsnoring,morningheadaches,anddrymouthonawakening.Duringobstructiveapnea,respiratoryeffortspersist,butairflowisabsentatthenoseandmouthwhileoncentralapneabothairflowandrespiratoryeffortsareabsentDefinitions33OTHERDEFINITIONSOFOBSTRUCTIVESLEEPAPNEAAH1>10(46)●AH>15(12)●AH|>5+symptoms(49)◆A|>2(23)A|>20(25)AHI=Apnea-plus-hypopneaindex,AlapneaIndexOTHERDEFINITIONSOF34EpidemiologyTheprevalenceofOSAintheUnitedStatesis2%to4%inmiddle-agedadultswhichissimilarinmagnitudetotheprevalenceofmajordiseasessuchasAsthmaandDiabetesEpidemiology35Epidemiology4%/2%4%oofmenand2%ofwomen,aged30-60,havediagnosedsleepapneaEpidemiology36睡眠呼吸暂停低通气睡眠监测课件37睡眠呼吸暂停低通气睡眠监测课件38睡眠呼吸暂停低通气睡眠监测课件39睡眠呼吸暂停低