Analysis of diagnosis and treatment paths
and guidelines of OSAHS
The diagnostic methods of OSA are divided into two categories: clinical manifestations and auxiliary examinations. The clinical manifestation will refer to whether the patient has OSA,
relevant high-risk factors and any medical history, and then diagnosed according to physical examination; In addition to routine inspection, auxiliary inspection also includes It includes preliminary screening, portable diagnostic instrument (PM) examination, overnight standard polysomnography (PSG) and nighttime segmented standard polysomnography Sleep monitoring. Sleep monitor is the first choice to evaluate the condition of OSA and diagnose OSA. PM examination is also called home sleep monitoring or sleep monitoring.Sleep monitoring outside the sleep center can record and analyze multiple sleep physiological data at the same time, which is convenient to move to the outside of the sleep room for entry.One step disease diagnosis.For OSA patients, the treatment plan is mainly divided into nondrug treatment, drug treatment and general treatment. General treatment package including risk factor control, etiology treatment, body position treatment (lateral position sleep), rather than drug treatment, including non-invasive positive airway pressure gas therapy, oral appliances, surgical treatment. Among them, noninvasive ventilator therapy is the first choice and primary treatment for adult OSA patientsTherapeutic means.. The specific working modes of ventilators are divided into three modes: single level positive airway pressure ventilation (CPAP) and automatic positive airway pressure ventilation.Pressure ventilation (APAP) and bi-level positive airway pressure ventilation (bpap). CPAP is the first choice for the treatment of OSA patients; APAP suitable for CPAP intolerant; Bpap is applicable to the treatment pressure exceeding 15cmh2o, or it is unacceptable or unsuitable for CPAP patients, and patients with chronic obstructive pulmonary disease or obesity hypoventilation syndrome.