폐쇄성 수면 무호흡 증후군에서의지속적 양압 호흡기 사용
Use of Continuous Positive Airway Pressure in Obstructive Sleep Apnea Syndrome
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초록
폐쇄성 수면 무호흡 증후군(obstructive sleep apnea syndrome, OSAS)은 상기도의 지속적인 부분 폐쇄나 간헐적인 완전 폐쇄로 인해 정상 환기를방해하고 정상 수면 패턴을 방해하는 수면 중 호흡장애의 질환이다. OSAS는 비만과도 많은 관련이 있으며 심혈관계 질환, 신경행동 장애, 기분 장애 및성장 장애 등의 합병증을 일으킬 수 있어서 빠른 진단과 치료가 중요하다. 저자들은 심한 코골이와 수면 중 무호흡 증상이있는 비만한 15세 남자 환자에서 수면 다원검사를통해 OSAS를 진단하고 지속적 양압 호흡기(conti- nuous positive airway pressure, CPAP) 치료를통해 성공적으로 증상을 개선하였기에 문헌 고찰과함께 보고하는 바이다.
Abstract
Obstructive sleep apnea syndrome (OSAS) is a disorder of breathing during sleep characterized by prolonged partial upper airway obstruction or intermittent complete obstruction that disrupts normal ventilation during sleep and normal sleep patterns. Untreated OSAS can cause various problems such as cognitive deficit, attention deficit hyperactivity disorder, hypertension, cardiovascular disease, failure to thrive and mood disorder. Therefore, early diagnosis and proper management is very important. The gold standard of diagnosis of OSAS is overnight polysomnography. Treatment includes the use of continuous positive airway pressure (CPAP) and weight loss in obese children. Here, we present an obese 15-year-old boy presented with obstructive sleep apnea and attention deficit. He was diagnosed with OSAS by polysomnography and was successfully treated with CPAP.
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