Do you take snoring at night seriously?

Do you take snoring at night seriously?

If someone in your home snores frequently, you should be careful. Let's take a case study.

Case: The patient, male, 22 years old, obese, came to see a doctor for hypertension, with the highest blood pressure of 240/110 mmHg. After admission, he was given antihypertensive treatment, but the effect was not good. After the ward rounds, the attending physician was instructed to complete the sleep breathing monitoring. The results are as follows.

Sleep apnea syndrome was considered, and noninvasive positive pressure ventilation was given at night, and the blood pressure remained stable.

What is sleep apnea syndrome?

A series of clinical syndromes caused by repeated apnea and hypopnea in patients during sleep.

What are the clinical manifestations of sleep apnea syndrome?

The most common symptom is repeated snoring with irregular snoring pitch. Some people are repeatedly woken up due to lack of oxygen. Some people have increased nocturia, dizziness and headache when waking up in the morning, and dry mouth and tongue. Some people have memory loss, metabolic disorders, and even sudden death.

What are the dangers of sleep apnea syndrome?

It can lead to high blood pressure, cardiovascular and cerebrovascular diseases, arrhythmia, diabetes, asthma, pulmonary hypertension, sexual dysfunction, cognitive dysfunction, etc. In severe cases, it can lead to sudden death.

How to screen?

The most commonly used method in clinical practice is polysomnography. In layman's terms, it means wearing a convenient sleep monitor before going to bed at night, which can monitor and record sleep and ventilation conditions.

Who needs to be monitored?

Those who have long-term and repeated snoring;

Newly diagnosed hypertensive patients, especially those who are obese;

Angina pectoris at night;

The test found slow arrhythmia;

Those with diabetes or metabolic syndrome;

Elderly asthma;

Increased nocturia, daytime fatigue, dizziness, and headaches;

Those with chronic tonsillitis, deviated and swollen nasal septum;

Those with a family history of sleep apnea and snoring;

How to treat it?

General treatment: quit smoking, quit drinking, lose weight, eat a balanced diet, and exercise more; use sedatives and hypnotic drugs with caution, and change sleeping position according to monitoring results.

Non-surgical treatment: oxygen inhalation, non-invasive positive airway pressure ventilation, oral braces, etc.

Surgical treatment: such as nasal surgery, tonsil surgery, etc.

Do you know that you should pay more attention to snoring?

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