Therapeutic alternatives with CPAP in obstructive sleep apnea

Journal of Mind and Medical Sciences

Anca Maierean¹  Corina Eugenia Budin¹  Roxana Ioana Bordea²  Lorena Ciumarnean³  Angela Cozma³  Maria Aluas⁴  Bianca Domokos Gergely⁵  Milena Man⁵  Ruxandra Rajnovean⁵ 

[1] Iuliu Hatieganu University of Medicine and Pharmacy, Cluj Napoca, Romania;Iuliu Hatieganu University of Medicine and Pharmacy, Dentistry Faculty, Cluj Napoca, Romania;Iuliu Hatieganu University of Medicine and Pharmacy, Department of Internal Medicine, Cluj Napoca;Iuliu Hatieganu University of Medicine and Pharmacy, Department of Medical Education, Cluj Napoca;Iuliu Hatieganu University of Medicine and Pharmacy, Department of Pneumology, Cluj Napoca;

关键词: OSA;    oral appliance;    upper way stimulation;    oropharyngeal exercises;    pulmonary rehabilitation;   

DOI  :  10.22543/7674.62.P181189

来源: DOAJ

【 摘 要 】

Obstructive Sleep Apnea (OSA), characterized by airflow cessation (apnea) or reduction (hypopnea) due to repeated pharyngeal obstructions during sleep, causes frequent disruption of sleep and hypoxic events. The condition is linked to many adverse health related consequences, such as neurocognitive and cardiovascular disorders, and metabolic syndrome. OSA is a chronic condition requiring long-term treatment, so treatment using continuous positive airway pressure (CPAP) has become the gold standard in cases of moderate or severe OSA. However, its effectiveness is influenced by patients’ adherence. Surgery for OSA or treatment with oral appliances can be successful in selected patients, but for the majority, lifestyle changes such as exercise and dietary control may prove useful. However, exercise training remains under-utilized by many clinicians as an alternative treatment for OSA. Other interventions such as oral appliance (OA), upper way stimulation, and oropharyngeal exercises are used in OSA. Because the benefit of all these techniques is heterogeneous, the major challenge is to associate specific OSA therapies with the maximum efficacy and the best patient compliance.

【 授权许可】

Unknown