閉塞型睡眠時無呼吸症候群に対するスリープスプリント（SS）治療

概要

論文の詳細を見る
In this study, we demonstrated our sleep splint (SS) therapy for patients with obstructive sleep apnea syndrome (OSAS), and showed the usefulness of the therapy. Thirty-five patients were diagnosed as having OSAS and treated in our hospital from April 2000 to January 2001. Fourteen of them were examined with polysomnography(PSG)or apnomonitor both before and after the SS therapy.Apnea index (AI),desaturation index (DS index)and % SpO₂ < 90 decreased from 41.8±19.2 to 23.9±17.0/hr,from 36.9±20.3 to 25.0±19.0/hr and from 20.4±17.5 to 12.2±12.8%, respectively. On the other hand,mean SpO₂ increased, from 91.7±3.2 to 93.5±2.2%,as did the lowest SpO₂ ,from 63.7±15.06 to 79.1±8.58%.Twelve patients showed a decrease in AI, and 7 of them were evaluated to have a good response to the SS therapy because of a greater than 50% decrease in AI. Although 2 patients showed a decrease in their lowest SpO₂ ,12 patients showed an increase. Only one patient showed both an AI increase and a decrease in the lowest SpO₂ . Our SS therapy is slightly to moderately effective for many patients with OSAS, and remarkably so for some patients. Clearer indications for the use of this therapy and improvement of SS are necessary.
信州医学会の論文