Advertisement

Schlafapnoesyndrome

  • G. M. Barthlen

Zusammenfassung

Das obstruktive Schlafapnoesyndrom (OSAS) ist charakterisiert durch wiederholte obere Atemwegsobstruktionen während des Schlafes, gewöhnlich verbunden mit einem Abfall der O2-Sättigung. Bis zu 5 solcher nächtlicher Atemstillstände pro Stunde werden als normal angesehen, bei über 60-jährigen Patienten wird ein respiratorischer Disturbance-Index (RDI; entspricht der Anzahl von Apnoen und Hypopnoen pro Stunde Schlaf) von bis zu 10 noch toleriert.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. 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.Google Scholar
  2. Bassetti C, Aldrich M, Chervin R, Quint T (1996) Sleep apnea in the acute phase of TIA and stroke. Neurology 47: 1167–1173.PubMedCrossRefGoogle Scholar
  3. Barthlen GM; Matthys H (Eds) (1997) 30 years OSAS. Respiration 64 (Suppl 1).Google Scholar
  4. Barthlen GM (1997) Nocturnal respiratory failure as an indication of non-invasive ventilation in the patient with neuromuscular disease. Respiration 64 (Suppl 1): 35–38.PubMedCrossRefGoogle Scholar
  5. Bradley TD, Mc Nicholas WT, Rutherford R, Popkin J, Zamel N, Phillipson EA (1986) Clinical and physiologic heterogenity of the central sleep apnea syndrome. M Rev Resp Dis 134: 217–221.Google Scholar
  6. Deutsche Gesellschaft für Schlafforschung und Schlafmedizin, Wissenschaftliche Sektion (1998) Nächtliche Atmungs-und Kreislaufregulationsstörungen. Leitlinien zur obstruktiven Schlafapnoe (OSA) (DGSM-Rundbrief, Januar 1998, S 7-10).Google Scholar
  7. Diagnostic Classification Steering Committee (1997) International classification of sleep disorders: diagnostic and coding manual. American Sleep Disorders Association, Rochester/MN.Google Scholar
  8. Fletcher EC (1996) Can the treatment of sleep apnea syndrome prevent the cardiovascular consequences? Sleep 19 (Suppl 9): 67–70.Google Scholar
  9. Guilleminault C (1989) Clinical features and evaluation of obstructive sleep apnea. In: Kryger MH, Roth T, Dement WC (eds) Principles and practice of sleep medicine. Saunders, Philadelphia, pp 552–558.Google Scholar
  10. Guillmineault C, Stoohs R (1991) Upper Airway resistance syndrome. Sleep Res 20: 250–255.Google Scholar
  11. Hein H, Kirsten D, Magnussen H (1997) Nehmen Patienten mit obstruktivem SAS unter nCPAP-Therapie ab? Pneumologie 51 (Suppl 3): 776–778.PubMedGoogle Scholar
  12. Hoster M, Schlenker E, Rühle KH (1997) Computergestützte nCPAP-Einstellung im Vergleich zum konventionellen Verfahren. Pneumologie 51 (Suppl 3): 754–757.PubMedGoogle Scholar
  13. Hudgel DW (1996) Treatment of obstructive sleep apnea, a review. Chest. 109/5: 1346–1358.PubMedCrossRefGoogle Scholar
  14. Joung T, Halter M, Dempsey J (1993) Occurence of sleep disordered breathing among middle aged adults. N Engl J Med 328: 1230–1235.CrossRefGoogle Scholar
  15. Krieger J (1992) Longterm compliance with nasal continuous positive airway pressure in obstructive sleep apnea patients and non-apneic snorers. Sleep 15/6: 42–46.Google Scholar
  16. Kaplan R (1992) Obstructive sleep apnea and depression-diagnostic and treatment implications. Aust NZJ Psychiatry 26/4: 586–591.CrossRefGoogle Scholar
  17. Loube DI, Gay PC, Strohl KP, Pack AI, White DP, Collop NA (1999) Indications for positive airway pressure treatment of adult obstructive sleep apnea patients. Chest 115/3: 863–866.PubMedCrossRefGoogle Scholar
  18. Montplaisir J, Bedard MA, Richers F, Rouloeau I (1992) Neurological behavioral manifestations in obstructive sleep apnea syndrome before and after treatment with continuous positive airway pressure. Sleep 15/6: 17–19.Google Scholar
  19. Perlstrom JR, Alpher EJ (1998) Oral appliance therapy for obstructive sleep apnea syndrome: Progressive mandibular advancement during polysomnography. Sleep 21: 327.Google Scholar
  20. Schäfer, D, Bianchi O. Greulich W, Schläfke M (1997) Differenzierung von Schlaf-und Atmungsstörungen nach Hirnstamminsulten. Somnologie 1: 151–159.Google Scholar
  21. Schmidt HS, Behrends BP, Hinkle RM (1998) Lack of effectiveness of UPPP and Laser Assisted Uvulo Palato Plasty (LAUP) in sleep disordered breathing. Sleep 21: 93.Google Scholar
  22. Schmidt-Nowara, W, Lowe A, Wiegand L (1995) Oral appliances for the treatment of snoring and obstructive sleep apnea: a review. Sleep 18/6: 501–510.PubMedGoogle Scholar
  23. Schutte S, Bräuninger W, Doghaamji K (1998) Comparison of continuoues positive airway pressure (CPAP) and autoadjust positive airway pressure (AAPAP) in the treatment of obstructive sleep apnea syndrome (OSAS). Sleep 21: 325.Google Scholar
  24. Sullivan CE, Issa FG (1985) Obstructive sleep apnea. Clin Chest Med 6: 633–650.PubMedGoogle Scholar
  25. Thalhofer S, Dorow P (1997) Central sleep apnea. Respiration 64/1: 2–9.PubMedCrossRefGoogle Scholar
  26. Weaver T, Maislen G, Chogh D (1998) Change in OSA-symptoms after three months CPAP use: a multisite study. Sleep 21: 94.Google Scholar
  27. Wright J, Johns R, Watt I, Melville A, Sheldon T (1997) Health effects of obstructive sleep apnea and the effectiveness of continuous positive airway pressure: A systematic review of the research evidence. BMJ 314: 851–860.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2002

Authors and Affiliations

  • G. M. Barthlen

There are no affiliations available

Personalised recommendations