Lung Kang Youdao | Sleep respiratory suspension -the stroke "killer" that cannot be ignored

Author:Guangdong Provincial Hospital Time:2022.08.31

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[Lung Kang Youdao] The column aims to allow you to understand more about chronic respiratory diseases and thoracic surgery related to Chinese and Western medical lung rehabilitation knowledge, teach patients to learn how to manage themselves, and also have a more unblocked breathing.

Clinical case

Liu Moumou, male, obese, took a wheelchair to the outpatient clinic. He said: "I did sleep monitoring last year. At that time, there was a severe sleep apnea. The doctor said that it would cause a lot of complications. I did not pay attention to it. I did not treat it in time. Review this sleep monitoring, and to treat this sleep apnea, which is helpful to prevent other diseases. "It turns out that sleep respiratory suspension is related to stroke?

Puzzle

About 1/3 of life spent about 1/3 of your life, and the timing of sleep is in a low metabolic state, allowing physical strength and energy to restore. However, some diseases quietly occur during sleep, and sleep breathing is one of the one. At present, a number of studies have shown that it has a close relationship with stroke. Sleep respiratory suspension is an independent risk factor that causes stroke diseases. Therefore, "snoring" may not be a good manifestation of sleep, maybe it will become our healthy "killer".

What is sleep apnea?

Sleep respiratory suspension means that the respiratory suspension or low ventilation of more than 30 times during sleep per night or low ventilation or lowest time of sleep suspension occur ≥5 times/hour. Clinically divided into three types: central sleep respiratory suspension syndrome (CSAS), obstructive sleep and respiratory suspension syndrome (OSAS), hybrid sleep apnea syndrome (MSAS). These three types are the most common in OSAS. Essence

Sleep respiratory suspension and stroke relationships?

Stroke is one of the most common causes of death in my country. There are more than 7 million patients in my country in China and the top of vascular disease. There are sufficient evidence that 50 % -70 % of patients with stroke have sleep and respiratory suspension, stroke of the stroke of OSAS, the neurological defects of the OSAS, long hospitalization and rehabilitation time, increasing mortality for strokes and mortality. Dangerous factors of stroke. Sleep respiratory suspension causes the cause of strokes. The main reason is that night sleep and respiratory suspension cause repeated hypoxemia, and repeated awakening causes sympathetic nerve excitement, accelerate arteriosclerosis, and aggravate cerebral ischemia.

How to prevent and treat?

1. Position intervention

由于由于由于由于由于由于由于由于 is aggravated by gravity during the supine position) is a prominent characteristic of acute stroke, so the side lying sleep can effectively improve respiratory suspension. Specific method: Guide the patient's head and body to keep sideways sleep. In order to ensure sleeping on the side, a side -bed auxiliary bedding can be selected, such as the side lying pillow, the headrest, or the side bedbladers. The side snoring becomes smaller or the no snoring sound is the best position, and some patients can adopt the method of elevation of the bedside.

2. Lifetime intervention

Actively conduct neurological rehabilitation training, especially the rehabilitation training of the upper airway muscles, breathing and exercise functions. Other measures include weight loss, smoking quitting, drinking, and serving sedative hypnotic drugs to avoid overwork during the day.

3. Non -invasive airway protection

对于睡眠呼吸暂停合并卒中患者，无创机械通气治疗可在呼吸过程中给予一定的气道正压支持，保持上气道通畅，阻止睡眠时上气道塌陷，消除呼吸暂停，防止低氧血症和The occurrence of hyperthamodemia. It is currently the most effective method for treating obstructive sleep and respiratory suspension, which can effectively prevent the occurrence and recurrence of stroke.

Learn Chinese medicine together

"Compendium of Materia Medica": "The brain is the house of Yuanshen."

Yuanshen refers to advanced central nervous nervous function activities. Mansion refers to where it is. "Brain is the Mansion of Yuanshen" shows that the brain is a place in charge of senior central nervous functional activity. The "brain" is where the stroke is located. Stroke disease directly affects the nerve function of the body. It causes half -body dysfunction, numbness of limbs, unclear words, and affect fine movements.

Health tip

Sleep respiratory dietary diet:

1. Should eat diet:

Houttuynia cordata has the function of clearing heat and detoxifying, has a certain anti -inflammatory effect, can improve the resistance of the nasal mucosa, thereby reducing the risk of nasal mucosal bacterial infection and virus infection. The smooth nasal cavity helps improve snoring. Lean meat is rich in protein and amino acids, which has the effect of improving the body's immunity and promoting the dissipation of inflammation of the nasal mucosa. Recommended medicated diet: cold fish, fresh fish herbalus crooked soup.

2. Avoid eating diet:

Avoid eating spicy and greasy foods, and eating this kind of food for a long time can stimulate the nasal mucosa and increase weight, leading to aggravation of snoring.

Editor

The lung rehabilitation team of the University of the University of Traditional Chinese Medicine Hospital mainly carried out chronic airway diseases (such as chronic obstructive lung disease, sleep respiratory suspension syndrome, bronchial dilation, etc.), bronchial dilation, etc.) Rong surgery, lung tumor surgery), lung recovery work.

【Medical Guidance】

Li Jiqiang, chief Chinese medicine practitioner, doctor of medicine, doctoral tutor. Master of the master of the teacher and Professor Liu Weisheng, a famous Chinese medicine doctor in Guangdong Province.

He is currently the vice president of the Federation of Federation of the Federation of the World Chinese Medicine Society, executive director of the Federation of Respiratory Diseases on Respiratory Diseases, the Chairman of the Chinese and Western Medicine Society of the Ceremony of Traditional Chinese and Western Medicine, the Chairman of the Council of the Ceremony Disease (fever) professional committee deputy chairman, member of the Chinese Medicine Society of Chinese Medicine, member of the Chinese Sleeping Research Association Sleep Resurrection Disadvantage Professional Committee, and member of the Activity Rehabilitation Professional Committee of the Guangdong Chemical Diseases Association. It is mainly engaged in clinical, scientific research and teaching work of the combination of traditional Chinese and Western medicine, acute and critical illness, and integrated traditional Chinese and western medicine (infectious diseases).

[Introduction to the author in this issue]

Huang Ying, deputy chief physician of the elderly medicine department of the University of Traditional Chinese Medicine Hospital.

The Standing Committee of the Traditional Chinese and Western Medicine Society of Ceremony of the Guangdong Provincial Pharmaceutical Society, Youth Member of the Chinese Sleep Research Association Sleep Resurrection disorders, and member of the Professional Committee of Respiratory Diseases of the Guangdong Academy of Traditional Chinese Medicine.

Good at: combined Chinese and Western medicine to treat obstructive sleep apnea, chronic obstructive pulmonary disease and other respiratory diseases.

Contact: 020-39318650

Contact Address: No. 55, No. 55, West Road, University of Panyu District, Guangzhou, Guangzhou University City, No. 3 Floor, Hospital of University City Hospital, Guangdong Province

Supply: Comprehensive Third Department of Comprehensive Three Sciences of the University of the University of Traditional Chinese Medicine Hospital