jof -欧洲呼吸杂志JO - Eur Respir J SP - 1751 LP - 1755 VL - 8 IS - 10 AU - liisstro, G AU - Aubert, G AU - Rodenstein，N2 -阻塞性睡眠呼吸暂停是一种慢性疾病，其特征是在睡眠过程中反复出现上呼吸道塌陷，导致睡眠碎片化。睡眠呼吸暂停的管理包括一般和具体措施。一般的措施应该包括减轻超重患者的体重;晚上不喝酒;避免任何催眠药物。具体措施有:对体位性睡眠呼吸暂停(仅在仰卧时出现睡眠呼吸暂停)患者进行简单的体位训练，甚至轻微;为了在睡眠中形成突出的颌部，为了每晚在睡眠中引入鼻咽管。当使用体位训练、口腔用具或鼻咽管时，应采用整夜多导睡眠仪监测其效果。治疗睡眠呼吸暂停的最佳方法是鼻持续气道正压。 The main problem with nasal continuous positive airway pressure is the long-term compliance which should be assessed regularly over the years. In cases where nasal continuous positive airway pressure is not tolerated or compliance is bad, a surgical treatment can be proposed. Uvulopalatopharyngoplasty seems to give disappointing results. By contrast, maxillomandibular surgery is credited with the best results available as far as surgery is concerned, comparable to nasal continuous positive airway pressure. ER -