天津医药

天津医药 ›› 2024, Vol. 52 ›› Issue (3): 324-326.doi: 10.11958/20231612

• 技术规范 • 上一篇    下一篇

多导睡眠图辅助药物诱导睡眠内镜正压呼吸机压力滴定的操作要点

刘丹(), 万南生, 王杰, 句仁华, 谢巍, 田羽, 冯靖△()   

  1. 天津医科大学总医院呼吸与危重症医学科（邮编300052）
  • 收稿日期:2023-10-22 修回日期:2023-11-14 出版日期:2024-03-15 发布日期:2024-03-13
  • 通讯作者: △E-mail：zyyhxkfj@126.com
  • 作者简介:刘丹（1989），女，主治医师，主要从事睡眠呼吸暂停、介入呼吸病学方面研究。E-mail：liudan_nkdx@163.com
  • 基金资助:
    国家自然科学基金资助项目(82300120);国家自然科学基金资助项目(82170097);国家自然科学基金资助项目(81970083);国家自然科学基金资助项目(81570084);国家自然科学基金资助项目(81270144);国家自然科学基金资助项目(30800507);十三五国家科技部支撑计划课题(2015BAI12B11);天津市“131”创新型人才团队建设项目-天津医科大学总医院诊断性介入肺脏病学创新团队(201940)

Technical operating points of polysomnography-assisted drug-induced sleep endoscopic positive airway pressure titration

LIU Dan(), WAN Nansheng, WANG Jie, JU Renhua, XIE Wei, TIAN Yu, FENG Jing△()   

  1. Department of Respiratory and Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin 300052, China
  • Received:2023-10-22 Revised:2023-11-14 Published:2024-03-15 Online:2024-03-13
  • Contact: △E-mail: zyyhxkfj@126.com

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摘要：

识别阻塞性睡眠呼吸暂停（OSA）患者上气道阻塞和狭窄情况对于决定后续治疗方案至关重要。药物诱导睡眠内镜（DISE）是可提供OSA患者麻醉后“睡眠”状态时上呼吸道解剖学结构的三维可视化评估技术，通过内镜安全而快速地观察上呼吸道阻塞及塌陷的动态情况,为制定手术方案、进行气道正压（PAP）干预治疗等提供重要参考。在多导睡眠图（PSG）辅助下，DISE对优化OSA个体化治疗方案发挥重要作用。该文介绍了多导睡眠图辅助药物诱导睡眠内镜正压呼吸机压力滴定的操作要点。

关键词: 睡眠呼吸暂停综合征, 正压呼吸, 多道睡眠描记术, 药物诱导睡眠内镜

Abstract:

Recognizing upper airway obstruction and stenosis is critical to determine the subsequent treatment options in patients with obstructive sleep apnea (OSA). Drug-induced sleep endoscopy (DISE) is a 3D visual evaluation technology for the anatomical structure of the upper respiratory tract of OSA patients during "sleeping" state after being anesthetized. The dynamic situation of upper respiratory tract obstruction and collapse can be observed safely and quickly through endoscopy, which provides important reference for formulating surgical methods and positive airway pressure (PAP) intervention treatments. With the assistance of polysomnography (PSG), DISE plays an important role in optimizing individualized treatment plans for OSA. The present article introduces the technical operating points of PSG-assisted drug-induced sleep endoscopic positive airway pressure titration.

Key words: sleep apnea syndromes, positive-pressure respiration, polysomnography, drug-induced sleep endoscopy

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