天津医药 ›› 2015, Vol. 43 ›› Issue (1): 109-112.doi: 10.3969/j.issn.0253-9896.2015.01.029

• 综述 • 上一篇    

重叠综合征的治疗进展

李群,王彦,曹洁,周宁,王杰,郭美南#br# #br#   

  1. 天津医科大学总医院呼吸科(邮编 300052

  • 收稿日期:2014-08-29 修回日期:2014-09-24 出版日期:2015-01-15 发布日期:2015-01-30
  • 通讯作者: 曹洁E-mail: tjcaojie@sina.com E-mail:836205283@qq.com
  • 作者简介:李群(1989), 女, 硕士在读, 主要从事呼吸内科COPD 与 OSAS方面研究
  • 基金资助:
    国家十二五科技支撑计划课题资助(2012BAI05B02

Progress in the treatment of the overlap syndrome

LI Qun, WANG Yan, CAO Jie, ZHOU Ning, WANG JieGUO Meinan#br# #br#   

  1. Department of Respiratory Medicine, General Hospital of Tianjin Medical University, Tianjin 300052, China

  • Received:2014-08-29 Revised:2014-09-24 Published:2015-01-15 Online:2015-01-30
  • Contact: E-mail: tjcaojie@sina.com E-mail:836205283@qq.com

摘要: 摘要: 重叠综合征治疗的重点在于 2 种疾病中每个疾病治疗效果最大化, 其客观目标包括纠正患者的睡眠片段化、降低住院率与病死率, 主观目标在于改善患者机体功能、睡眠及生活质量。 目前重叠综合征患者主要依靠气道正压通气治疗, 维持通气量改善换气功能。 氧疗作为辅助通气治疗措施能够缓解低氧状态。 药物治疗的关键在于扩张支气管, 清除分泌物, 降低炎症反应以改善通气功能。 同时, 日常活动锻炼及生活饮食习惯在其疾病的治疗措施中不可或缺, 对改善患者的运动功能及提高生活质量有重要的辅助作用。

关键词: 肺疾病, 慢性阻塞性, 睡眠呼吸暂停, 阻塞性, 连续气道正压通气, 重叠综合征, 氧疗

Abstract: Abstract: The key treatment for overlap syndrome should focus on maximizing the therapeutic effect of each condition and concentrate of interventions that have showed benefit in both diseases. The goal of therapy includes the improvement in objective data including the reduction in sleep fragmentation, exacerbation rate, hospitalization frequency and mortality, and subjective data such as daytime functioning, quality of life and sleep quality. At present, the treatment of overlap syndrome is mainly rely on the positive airway pressure to improve ventilatory capacity and gas exchange function. Oxygen therapy as auxiliary treatment can alleviate hypoxemia. The key of drug therapy is to dilate the bronchus, clear secretions, reduce in⁃ flammatory response to improve the ventilation function. Meanwhile, daily exercise and dietary habits of life activity are indis⁃ pensable in the treatment of the disease as important supporting role to improve the motor function and the quality of life in patients.

Key words: pulmonary disease, chronic obstructive; sleep apnea, obstructive; continuous positive airway pressure; over? lap syndrome, oxygen therapy