SLEEP-RELATED DISORDERS IN THE OBESE

被引:19
作者
SHAHI, B [1 ]
PRAGLOWSKI, B [1 ]
DEITEL, M [1 ]
机构
[1] UNIV TORONTO,ST JOSEPHS HLTH CTR,DEPT SURG,30 QUEENSWAY,TORONTO M6R 1B5,ONTARIO,CANADA
关键词
APNEA; BARIATRIC SURGERY; CONTINUOUS POSITIVE AIRWAY PRESSURE; HYPOVENTILATION; NREM; OBESITY; POLYSOMNOGRAPHY; REM; SLEEP; SNORING; UVULOPALATOPHARYNGOPLASTY; WEIGHT LOSS;
D O I
10.1381/096089292765560358
中图分类号
R61 [外科手术学];
学科分类号
摘要
Obesity is a well-known cause of upper airway narrowing, respiratory failure and resulting hypoxemia and hypercapnia, and cardiac arrhythmias during sleep. Obese patients are prone to snore loudly and to develop obstructive sleep apnea syndrome and also obesity-hypoventilation syndrome. Repeated nocturnal upper airway obstruction may cause respiratory failure and cor pulmonale and frequent awakenings, and result in nocturnal choking, with daytime drowsiness, somnolence and irritability. The purpose of this article is to review the evidence for these accepted facts and to consider a variety of new information that relates to the pathogenesis, symptomatology and treatment of sleep disorders caused by obesity.
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页码:157 / 168
页数:12
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