단순 코골이와 경증 폐쇄성수면무호흡의 치료 결과와 치료 방법에 대한 임상적 평가

송슬기; 송윤재; 박한결; 김진일; 조성동; 지정연; 김영석; 김현직

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자료유형: 학술저널

저자정보: 송슬기 송윤재 박한결 김진일 조성동 지정연 김영석 김현직

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제62권 제2호

발행연도: 2019.1

수록면: 102 - 107 (6page)

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Background and Objectives The clinical significance and need for the treatment of primary snoring and mild obstructive sleep apnea have been recently questioned. In this study, we analyzed therapeutic outcome and the methods of treatment of such diseases. Subjects and Method A retrospective review was conducted using the medical records of patients diagnosed with primary snoring or mild obstructive sleep apnea at a single institution from 2013 to 2015 through polysomnography or WATCHPAT. Results Of the 18 patients (37%) with primary snoring, 13 patients (72.2%) underwent surgery, four patients (22.2%) were treated with surgery and mandibular advancement device, and one patient (5.6%) underwent automatic positive airway pressure therapy. Of the 78 patients (61%) with mild obstructive sleep apnea, 35 patients (44.8%) had surgery, 24 patients (30.8%) were treated with mandibular advancement device, 13 patients (16.7%) were treated with surgery and mandibular advancement device and 6 patients (7.7%) received automatic positive airway pressure therapy. For primary snoring, while Epworth Sleepiness Scale and Pittsburg Sleep Quality Index did not improve, the snoring visual analog scale decreased significantly. In patients with mild obstructive sleep apnea, Apnea-Hypopnea Index, snoring decibel, Epworth Sleepiness Scale, and Pittsburg Sleep Quality Index were significantly decreased after treatment and the lowest oxygen saturation was significantly increased after treatment. Conclusion For primary snoring, the direction of treatment should be determined in accordance with the presence of associated diseases related to sleep disturbance breathing. For mild obstructive sleep apnea, active treatment may be helpful.

참고문헌 (15)

참고문헌 신청

Heinzer R / 2015 / Prevalence of sleep-disordered breathing in the general population : the HypnoLaus study / Lancet Respir Med 3(4):310~318

American Academy of Sleep Medicine Task Force / 1999 / Sleep-related breathing disorders in adults : recommendations for syndrome definition and measurement techniques in clinical research / Sleep 22(5):667~689

Olafsdottir R / 2016 / Prevalence of sleep apnoea syndrome in the middle to old age general population / Lancet Respir Med 4(2):e5~6

Arnardottir ES / 2016 / Obstructive sleep apnoea in the general population : highly prevalent but minimal symptoms / Eur Respir J 47(1):194~202

Deegan PC / 1995 / Pathophysiology of obstructive sleep apnoea / Eur Respir J 8(7):1161~1178

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