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为进一步提高耳鼻喉科医生对阻塞性睡眠呼吸暂停综合征(OSAS)的诊断和治疗水平,报道一组(23例)甲状腺功能低下合并OSAS的病例。全部患者均经甲状腺功能检查和多导睡眠仪监测而明确诊断。治疗上主要采用甲状腺素替代疗法,部分患者辅以持续性气道正压治疗(CPAP)或手术治疗(气管切开或UPPP)。本文资料表明甲状腺功能低下合并OSAS采用非手术治疗可获得非常满意的效果。文中讨论了甲状腺功能低下和OSAS之间的关系以及诊断和治疗。
To further improve ENT diagnosis and treatment of obstructive sleep apnea syndrome (OSAS), a group of 23 patients with hypothyroidism complicated with OSAS were reported. All patients were diagnosed by thyroid function test and polysomnography. In the treatment, thyroid hormone replacement therapy is mainly used. Some patients are supplemented with continuous positive airway pressure therapy (CPAP) or surgery (tracheotomy or UPPP). The data in this paper show that very satisfactory results can be obtained with nonsurgical treatment of hypothyroidism combined with OSAS. The article discusses the relationship between hypothyroidism and OSAS as well as diagnosis and treatment.