10% of two to three adults snore have sleep apnea
according to the survey and statistics, about 20% ~ 30% of people snore in China, and the incidence of sleep apnea syndrome is 5% ~ 14%. With the increase of age, the incidence rate is also increasing. Over 65 years old is 20% to 40%. Sleep apnea syndrome (OSAHS) is characterized by repeated snoring and apnea during sleep, resulting in hypoxia and damage to multiple organs.
it is worth noting that snoring does not mean suffering from OSAHS. In daily life, two to three adults snore while sleeping, which is often seen when they are tired or working hard. If it is an accidental behavior, there is no need to worry. But if you snore for a while, the thunder is thunderous, and then it is silent, as if you don’t breathe, or even hold your breath and wake up by yourself, you will be drowsy during the day. Zhang Xiangmin suggested that if you have these symptoms, you should go to see a doctor. Through the preliminary screening of sleep breathing, you can detect whether there is hypoxia during sleep. Further multi-channel sleep monitoring can judge the type and severity of sleep diseases.
Snoring
1 of different characters and simple snoring
have obvious snoring during sleep, regular and uniform, and can have daytime sleepiness and fatigue. Polysomnography PSG showed that AHI (apnea hypopnea index) was less than 5, and sleep hypoxemia was not obvious.
2, upper airway resistance syndrome
, increased upper airway resistance, repeated PSG examination & alpha; Wakefulness wave, slight wakefulness at night & gt; 10 times / hour, continuous sleep interruption, fatigue and daytime sleepiness, with or without obvious snoring, no apnea and hypoxemia. Esophageal pressure measurement can reflect the awakening related to the change of intrathoracic pressure and respiratory effort. Experimental noninvasive ventilation can often alleviate symptoms.
3 and paroxysmal sleeping sickness
are the second major causes of daytime sleepiness outside OSAHS. The main manifestations are excessive daytime sleepiness, paroxysmal collapse, sleep paralysis and sleep hallucinations, mostly in adolescents. In addition to the typical symptoms of sudden collapse, the main diagnostic basis was the average sleep latency & lt; 8 minutes with & Ge; 2 times of abnormal rapid eye movement sleep. We should also pay attention to the opportunity of occurrence and missed diagnosis of this disease and the main clinical results of PSS. A few have family history.
There are three ways to treat snoring:
(1) nasal continuous positive airway pressure ventilation CPAP: it can maintain upper airway expansion and better prevent apnea caused by respiratory tract obstruction during sleep.
(2) relieve mechanical stenosis of upper airway: for upper airway obstruction caused by tonsil and adenoid hypertrophy in children, surgical resection of tonsil and adenoid can achieve good results. According to the location of obstruction, adults can use uvulopalatopharyngoplasty, tongue root suspension, jaw surgery and so on.
(3) tracheotomy: tracheotomy can prevent respiratory airflow from upper airway depression through airway diversion, but it is not easy for patients to accept. It is usually used for first aid or patients with severe upper airway obstruction.
snoring prevention measures
(I) weight loss
1, diet control: impact on body mass index & gt; 24% of obese patients were given weight loss guidance, total calorie intake was controlled, and diet was reasonably selected to reduce weight. Mainly light vegetarian, eat less fat meat and animal viscera, choose fish, lean meat, milk and beans, and choose fresh vegetables with high vitamins and rich cellulose; It is advisable to eat iodine containing food with lipid-lowering effect, such as kelp laver; Avoid pickled products and limit sodium salt intake. Pay attention to the quantitative diet, do not overeat, reasonably distribute three meals, and achieve & ldquo; Eat early, eat well in the middle, and eat less late & rdquo;, Focus on dinner, drink less fruit juice and carbonated drinks, and reduce entertainment and supper.
2. Exercise: choose suitable exercise methods, such as brisk walking, jogging, walking, cycling, etc. During exercise, the heart rate should not exceed 120 times per minute. Persevere and reduce weight can alleviate symptoms to a certain extent.
(II) quit smoking and alcohol. Drinking and smoking can aggravate patients’ respiratory disorder at night, persuade patients to quit smoking and alcohol or reduce alcohol consumption, and ensure that they do not drink alcohol within 3h before going to bed. Let patients know the specific methods of quitting smoking and alcohol, strengthen supervision, encourage patients and enhance their determination.
(III) sleep posture training, guiding patients to sleep in the right lying position at night, which can avoid or reduce snoring and suffocation to avoid apnea. Sleep ball technology can be used to sew a pocket with table tennis or tennis ball on the back of the patient’s pajamas to force the patient to maintain a lateral position.
(IV) control endocrine and metabolic disorders.
Your partner snores too loudly. Can you wake him up?
there are two cases. Generally, snoring affects your partner’s sleep, and your partner directly pushes him to wake up. If you do this occasionally, it’s not a big problem. If you often push a snorer to wake up, the person who is patted up will feel bad after getting up, and is easy to get angry and complain. Because it affects his sleep, he is physically and mentally tired the next day; The second situation is that if it is a more serious snoring patient, such as snoring thunder, but it is silent for a while, which is apnea. At this time, it should be noted that if the apnea time is too long, people around him should gently wake him up, otherwise the snorer is in a state of hypoxia, and the blood oxygen drops rapidly, which will induce heart attack or even stroke.