睡眠时无呼吸综合征(sleep aponea syndrom,SAS)的基本特征是觉醒时没有呼吸障碍,而在睡眠中频繁出现的、持续10秒钟以上的呼吸停止(无呼吸),重新出现呼吸时伴有明显的鼾声。由于无呼吸而引起觉醒反应和呼吸再现,并导致睡眠频频中断,引起慢性失眠,白天困倦和瞌睡等睡眠觉醒障碍。最近有人认为SAS与高血压有关,在高龄者和小儿发生率也很高,因而引起临床各科(精神科、耳鼻喉科、内科和小儿科)的注意。SAS发病原因有单一的或复合的,但其共同机理是都有鼻腔、咽喉和上呼吸道的狭窄。作为治疗方法,如果可能应进行去除这些部位狭窄的所谓根治疗法。伴有粘液水肿的肥胖病人,给予甲状腺制剂可奏效。单纯性肥胖者最好通过饮食疗法和运动负荷减轻体重,但在家中是不能达到充分减轻肥胖这个目的的,往往需要住院来严格控制能量摄入。鼻腔、咽、喉的形态异常最好应用外科治疗。对腭扁桃体肥大、腺样增殖病人宜做切除术。有软腭下垂和巨大悬雍垂者应施行悬雍垂、腭咽形成术。小下 The basic feature of sleep aponea syndrom (SAS) during sleep is that there is no respiratory disorder when awakening, and breathing that lasts for more than 10 seconds (no breathing), which occurs frequently during sleep, reoccurs when breathing Obvious snoring. As a result of no breathing caused by awakening and respiratory reappearance, and lead to frequent interruption of sleep, causing chronic insomnia, sleepiness and drowsiness during sleep and other sleep arousal disorders. Recently, some people think that SAS is associated with high blood pressure, and has a high incidence in elderly people and infants, thus attracting the attention of various clinical departments (psychiatric, otolaryngology, internal medicine and pediatrics). The causes of SAS have a single or complex, but the common mechanism is the stenosis of the nose, throat and upper respiratory tract. As a method of treatment, so-called radical therapies should be performed to remove these stenoses if possible. Obese patients with mucus edema, thyroid preparations can be effective. Simple obesity is best through diet and exercise load to reduce weight, but at home can not achieve the full purpose of reducing obesity, often require hospitalization to strictly control energy intake. Nasal cavity, pharynx, throat morphology is best to apply surgical treatment. Right tonsil hypertrophy, adenoid proliferation of patients should do resection. There are soft palate drooping and great uvula should be implemented uvula, velopharyngeal surgery. Small next