Approach to obstructive sleep apnea syndrome at Tokyo Dental College, Ichikawa General Hospital
スポンサーリンク
概要
- 論文の詳細を見る
In this communication, we report the current status of OSAS (Obstructive Sleep Apnea Syndrome) in the southern region of Higashikatsushika around Ichikawa City, our effort to improve patient QOL as well as to establish diagnostic and therapeutic methods, and the results of a comparison of therapeutic options with the focus on improvement of compliance by using nCPAP (nasal continuous positive airway pressure). We examined 112 patients who visited the Otolaryngology Department at Tokyo Dental College, Ichikawa General Hospital, with the chief complaint of nocturnal snoring or sleep apnea from January 2001 to April 2003 and underwent all-night PSG (polysomnography). Based upon the results of these all-night PSGs, 89 and 23 patients were diagnosed as having OSAS and simple snoring, respectively. Using the AHI classification of severity, 58 and 31 patients were assessed as having severe OSAS and mild OSAS, respectively. (1) nCPAP was tried in 61 patients, and 39 patients (63%) were able to continue it. After the introduction of nCPAP, surgery was performed in 18 patients (30%). As a result, weaning from nCPAP was successfully achieved in 10 cases, compliance with nCPAP was improved in six cases, alleviation of symptoms (decreased pressure) was seen in one case, and aggravation was noted in one case. In addition, four patients (7%) unilaterally discontinued nCPAP. (2) Surgery was performed in 34 patients, and 18 of them had surgery after nCPAP was tried. (3) We asked the dental department to make OAs (oral appliances) for 31 patients but seven of them did not attend the department, so a total of 24 patients used OAs. Fourteen patients (58%) were able to tolerate an OA for 3 months or more. Based on these results, we are hoping to achieve a better control of OSAS by combining nCPAP and other modalities.
著者
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Chiba S
Department Of Biology Faculty Of Science Konan University
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Endo Makoto
Department Of Otorhinolaryngology Ohta General Hospital
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Endo Makoto
Department Of Applied Biochemistry Utsunomiya University
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Nakajima T
Department Of Agricultural Chemistry Fuculty Of Agriculture Tohoku University
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Ohkawa Takashi
Department Of Otorhinolaryngology Tokyo Dental College Ichikawa General Hospital
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Endo M
Department Of Biochemistry Kitasato University Graduate School Of Medical Sciences
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Chiba Shintarou
Department Of Otorhinolaryngology Ohta General Hospital
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Chiba Shintarou
Department Of Otorhinolaryngology Jikei University School Of Medicine
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NAKAJIMA TSUNEYA
Department of Otorhinolaryngology, Tokyo Dental College, Ichikawa General Hospital
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HAYAMA TAKASHI
Department of Otorhinolaryngology, Tokyo Dental College, Ichikawa General Hospital
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OHKUSHI TETSUSHI
Department of Otorhinolaryngology, Tokyo Dental College, Ichikawa General Hospital
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NAGATOMO MARIKO
Department of Otorhinolaryngology, Tokyo Dental College, Ichikawa General Hospital
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OHTA FUMIKAZU
Department of Otorhinolaryngology, Jikei University School of Medicine
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MATSUWAKI YOSHINORI
Department of Otorhinolaryngology, Jikei University School of Medicine
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ASAKA DAIYA
Department of Otorhinolaryngology, Jikei University School of Medicine
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Asaka Daiya
Department Of Otorhinolaryngology Jikei University School Of Medicine
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Ohta Fumikazu
Department Of Otorhinolaryngology Jikei University School Of Medicine
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Hayama Takashi
Department Of Otorhinolaryngology Tokyo Dental College Ichikawa General Hospital
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Nagatomo Mariko
Department Of Otorhinolaryngology Tokyo Dental College Ichikawa General Hospital
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Nakajima Tsuneya
Department Of Otorhinolaryngology Tokyo Dental College Ichikawa General Hospital
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Ohkushi Tetsushi
Department Of Otorhinolaryngology Tokyo Dental College Ichikawa General Hospital
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Matsuwaki Yoshinori
Department Of Otorhinolaryngology Jikei University School Of Medicine
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Ohkawa T
Department Of Pediatrics National Defense Medical College
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Endo Makoto
Department Of Anatomic Pathology Graduate School Of Medical Sciences Kyushu University
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Hayama T
Department of Otorhinolaryngology, Tokyo Dental College, Ichikawa General Hospital
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Ohkushi T
Department of Otorhinolaryngology, Tokyo Dental College, Ichikawa General Hospital
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Nagatomo M
Department of Otorhinolaryngology, Tokyo Dental College, Ichikawa General Hospital
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Ohta F
Department of Otorhinolaryngology, Jikei University School of Medicine
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Matsuwaki Y
Department of Otorhinolaryngology, Jikei University School of Medicine
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Asaka D
Department of Otorhinolaryngology, Jikei University School of Medicine
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