폐경과 수면관련 호흡장애
Menopause and Sleep Related Breathing Disorders
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초록
폐경이후 여성에서 수면관련 호흡장애의 빈도는 증가한다. 여성호르몬의 감소와 체중의 증가에 따른 상기도의폐쇄로 인해 수면의 단절이 발생하게 된다. 폐경 후 수면에 어려움을 겪는 여성에서 다른 수면장애와의 감별이 필요하며 수면관련 호흡장애가 의심되면 정확한 진단과 치료가 필요하다. 정확한 병력청취와 자세한 이학적 검사를 통해 예측이 되면 수면다원검사를 시행하게 되며 이를 통해 진단을 하게 된다. 또한 폐쇄부위 결정을 위한 여러 가지 검사를 시행하게 된다. 치료는 비수술적 치료와 수술적 치료법으로 크게 나뉘며, 환자의 선호도, 연령, 임상 검사 소견과 생활 환경 등의 사회적 여건을 고려하여 신중히 선택해야 한다.
Abstract
Women after the menopause appear to be more susceptible to sleep related breathing disorders (SBDs). The increased prevalence of SBDs in postmenopausal women may be related to weight gain and the decline in female sex hormones levels. These conditions may cause upper airway obstruction, which can result in sleep disruption. Other sleep disorders, such as insomnia,depression, and fi bromyalgia must be ruled out with SBDs in postmenopausal women with sleep diffi culties. Once SBD is strongly suspected through medical history and precise physical examinations, polysomnogram is required for confi rmatory diagnosis. In addition, other examinations besides polysomnogram should be performed to detect obstructed regions. Treatment of SBD can be classifi ed into surgical method and non-surgical method. Treatment options must be carefully selected by considering the patient’s clinical examinations, patient’s preference, age and life style.
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