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别让生命在睡眠中沉寂——睡眠呼吸病学的发展
时间: 2016-10-19    作者:    阅读次数: 4699

-yinzi-

yingguozhumingzuojiadigengxinde《pikeweikewaichuan》li,shengdongxingxiangdimiaohuileyigejiaoqiaodexiaopangzi,tamiansezihong,quanshenshuizhong,xinggeguaiyi。yitianzhongdabufenshijiandouzaichiyushuizhongduguo,pingchanghennanjiangtacongbingtaideshuimianzhonghuanxing,jiashangshuimianshichangfachuxiangliangdehansheng,shitachangchangchengweibeirenchaoxiaodeduixiang。

OG真人1956nian,yixuejiamenjiuyongtademingzijiangyizhongxindejibingmingmingweipikeweikezonghezheng,yechengweifeipangditongqizonghezheng,qidianxinglinchuangtedianwei: feipang、shishui、youxingongnengbuquan(biaoxianweishuizhong)、xueyezhongdehongxibaomingxianzengduo(biaoxianweimianseanhong)。

OG真人zheizhongbaitiantanshuieryejianshuimianshidahuludemaobingqishijiushishuimianhuxizhangaideyizhongchangjianzhengzhuang。xiandaishehuigongzuo、shenghuojiezouyuelaiyuekuai,shuimianjibingzhujianchengweileweixierenleijiankangdeyigeyinxingshashou,yuelaiyueyinqileyixuejiegengduodezhongshi。

shuijueshifashengdeweixian  

rendeyishengyousanfenzhiyizuoyoudeshijianzaishuimianzhongduguo,kejianshuimianduiyurenleidezhongyaoxing。jinguanjiqiannianlairenmenzunxunzherichuerzuo、riluoerxideziranguilv,quehenshaoyourenquzhuiwen“renweishenmeyaoshuijue”zheigewenti,zhidao12shiji,meiguokexuejiakaishiduishuimianjinxingyanjiu,cihoushuimianzhimijiuxiangaijijinzitaneiyangyinlaiyuelaiyueduodekexuejiadeguanzhu。

shuimiankefenchengfeikuaisuyandongshuimian(nrem-sleep)hekuaisuyandongshuimian(rem-sleep)lianggeshixiang,yejianrentihuifashengyixiliedeshenglibianhua。zaifeikuaisuyandongshuimianshixinlvjianman,huxipinlvjiangdi,jitidaixiejiangdi,naochuitishifangshengzhangjisuhexingjisu,tongshiquanshenjirou,guanjie,ruanogzhenrenfangsong,jitidedaochongfenxiuxi,suoshifangdeshengzhangjisubujinnengcujinrendeshengzhangfayu,tongshikecujindanbaizhihecheng,gongjixibaonengliang,jinxingogzhenrenxiubu,tigaorentidemianyinengli。kuaisuyandongshuimianshinaogaoduyanhuadejieguo,jinrushuimianshi,shentichuyushuimianzhuangtaierdanaozaigaoduhuodong,kuaisudongyanshuimiankenengshibennengkongzhihediaojiejiyihenjidegonggu,zainaohuanxingdediaojiehuomengdechanshengzhongqidaozhuyaozuoyong。

OG真人suizhexiandaishehuigongzuo、shenghuojiezoudejiakuai,gezhonggeyangdeshuimianjibingyezhujianzengduo。qizhong,shuimianhuxijibingyouyuqiyinnixinghegaobingsilv,yinqileyuelaiyueduodeguanzhu。shuimianguochengzhongdehuxibuchang,huizaochengzhangqidemanxingjianxiexingdiyang,congeryanzhongyingxiangshentidezhengchangshenglihedaixiehuodong。womenhenrongyiganjuedaoqingxingzhuangtaishidequeyang,danshiduiyushuimianguochengdequeyangquehennanchajue。zhangshijiandeshuimianqueyangduishentigegeqiguandegongnengdouhuichanshengfumianyingxiang,lirushuixinghouganjueshentiyiranpibei、baitianjinglibuzu、baitiandakeshui、jiyilixiajiangdeng。

hanzheng,yejiushidahan,sucheng“dahulu”。zhangqiyilai,youqishizaiwoguo,renmenpubianbashuijuedahulushiweiyizhong“shuidexiang”dezhuangtai。qishidahulushijiankangdedadi,yeshiyizhongzuichangjiandeshuimianhuxijibing。

OG真人hanshengdechanshengshiyouyudahanshihuanzhedeqidaotongchangbizhengchangrenxiazhai,baitianqingxingshiyouyuyanhoubujiroudaichangxingshousuoshiqidaobaochikaifang,buzhiyufashengdusai。danyejianshuimianshishenjingxingfenxingxiajiang,jirousongchi,yanqiangxiazhai,shishangqidaotaxian,dangqiliutongguoxiazhaibuweishi,chanshengwoliubingyinqizhendong,congerchuxianhansheng。dahanyanzhongzhehuxikeyizanshitingzhi(dayu10miao),congeryingxiangrendeshenxinjiankang。

OG真人youyudahanzheyejianshuimianhuxifanfuzanting,zaochengdanao、xueyeyanzhongqueyang。erzheizhongshuimianguochengzhongdequeyangzehuiyingxiangdaowomendeneifenmigongnenghemianyigongneng。youxierenzaishuimianguochengzhongyindahuluerturanbiexing,zhangcixiaqurongyiyinfayejianxinjiaotong,xinlvshichang,gaoxueyadeng,yanzhongshihaihuidaozhihuxishuaijie、xinlishuaijie、naochuxue、xinjigengsideng。gengzhongyaodeshi,dahanyinqideshuimianqueyangdadazengjialeyejiandecusilv。

OG真人daliangdediaochafaxian,renqunzhongde1%~4%derenhuanyoushuimianhuxizanting,yimeiguoweili,guji2000wanrenyoushuimianhuxizanting,30~60suidechengnianrenzhongyou3000rensiyugaibing,jihusuoyoudeshuimianhuxijibinghuanzhedouyoudahandelishi,dayue4gezhongzhongdudahanderenjiyou1gehuanyougaibing。

shuimianguochengzhongfashengdequeyangzuidadeweixianjiushiqiyinnixing,buyibeifaxian,youderenkenengyijinghuanshangleshuimianhuxizantingerzijiquebingbuzhiqing,yinci,zheizhongjibingwangwangdebudaohenhaodeyufanghezhiliao,suoyi,zhiyourenshihelejieshuimianhuxijibingcainenggenghaodifangkongzheizhongjibing。

OG真人“shuimianhuxizanting”degainian

zusaixingshuimianhuxizantingzonghezheng(obstructive sleep apnea_hypopneas syndrome,osahs)shiyizhongbingyinshifenfuza、fabingjizhishangweiwanquanchanmingdejibing,shushuimianzhonghuxidiaojiewenluan。zheizhongjibingzhuangtaibujinyoushuimiandahanherijianjidushishui,haiyouyuhuxizantinghuoditongqiyinqifanfufazuodediyanggaotansuanxuezheng,kedaozhixinfeiheqitazhongyaoshengmingqiguansunhai,shenzhifashengcusi。yinciosahsshiyizhongyouqianzaizhisixingdeshuimianhuxiwenluanxingjibing。

huxizantingcijishengmenchudeshenjingshoutikeyinqifanshexingzhiqiguanshousuo,tongshiyinxiongqiangfuyazengjia,mizoushenjingzhanglishenggao,yekeyinqizhiqiguanshousuo,kenenghuidaozhihuojiazhongxiaochuanfazuo。lingwai,huxizantingshidiyangkeshifeixueguanshousuo,daozhifeidongmaigaoya,zhangqifeidongmaigaoyabiranhuiyinqiyouxinshifeihouerdaozhifeixinshidefasheng。

shuimianhuxizantingbudanhuiyingxianghuanzhedeshenghuozhiliang,suoduanshouming,shenzhihuiyinfayanzhongdeshenjingxinligongnengzhangaihejingshenzhangai。yanjiubiaoming,yiyushiosahshuanzhezuichangjiandexinlizhuangtai。shuimianhuxizhangaihuanzheyiyudelinchuangbiaoxianyou: qingganzhangai(xinqingyiyu,qingxubuwen,jiaolv,duoyi,fanyinglengdan)、xingweizhangai(pifawuli、  xingdongchihuan、shiyujiantui、xingyujiantui、duishenghuowuxingqu,shenzhizisha)hesiweizhangai(zhuyilibujizhong、siweichihuan、jiyilixiajiang、yibing)deng。

OG真人chuleduihuanzhedeshentijiankangyouzheijidadeweihaiwai,shuimianhuxizhangaihaishiyidashehuigonghai,weihaitarendeshengminganquan。jiaotongshigutongjijieguoxianshi,huanshuimianhuxizantingzonghezhengsijideshigufashenglvshifeishuimianhuxizantingzonghezhengde2bei,tebieshidanrenxingshishi,shigufashenglvzeshihouzhede13bei。tamenchangchanghuishushuoshigufashengqianzijizaishuijue。youdeyanjiufaxianzaigaosugonglushang,sijichangchangzhuyiligaodujizhong,yinershoudaoshuiyiraoxidejihuishao,erzaimansuxingshishi,zhuyilirongyifangsong,shigufashenglvfanergenggao。

renmenhenzaojiurenshidaoleshuimianhuxizhangaidehaichu。guxilashenhuajiujizaileyiweisiyuhanzhengdeshenqibakelisi。jushuotatianshengtanshui,zhiyoujuliedetengtongcainengjiangtaconghanshuizhonghuanxing。shuimianshitahaihuifachukepadehansheng,pinfanchuxianhuxitingzhi,zuizhongsiyuzhixi。

1834nian meiguokexuejialuobotenixichubanle《shuimiandezhexue》yishu,bingjianlileshijieshangzuizao、zuidadeshuimianshiyanshi。1952nianribenchisongwuzhiliangjinxinglehanzhengdediaocha,renweixuanyongchui(kouqiangneiruaneyouliyuanxiangxiatuchudebufen,suchengxiaoshetou)zhangdayu1cm,kuandayu10cmhuoyanqiangxiazhaiyiyudahan。zheixiezaoqideyanjiuweihoulaishuimiankexuededafazhandiandinglejichu。

1961nian,zuizaodeshijiexingshuimianyanjiuogzhenren“shuimianjingshenshenglixuehui”(apss)chengli,zheibiaozhizheshuimianjibingyijingyinqileshijiefanweineideguangfanguanzhu。1965nian,deguodekuhljifaguodegastautliangweishenjingbingxuejialiyongchuanganqijilujishu,jiekaileshuimianjibingdeshenmimiansha,jiangzheizhongshuimianhuxijibingzhengshimingmingweishuimianhuxizanting。20shiji70niandai,sitanfudaxuedeyanjiuzhemenkaisheleshijieshangdiyijiashuimianmenzhen,bingyu1976nianzhengshiquelile“shuimianhuxizhangaizonghezheng”debingming。


shuimianhuxijibingdezhenzhi

OG真人osahshuanzhezaiqingxingshibingbufashenghuxizhangaishijian,yincishuimianzhuangtaibenshenkenengjiushiosahsfashengdebibeiyinsu。chuleshanghuxidaojiepoujiegouyichangwai,yanjiuhaizhengshi,yanbukuozhangjigongnengyichangzaizusaixingshuimianhuxizhangaidefashenghefazhanguochengzhongqizhongyaozuoyong。shuimiankeyingxiangzhongshushenjingxitongyixieshenjingdizhideshuiping,biru5—qiangseanfenmizengjia,keyiyizhishanghuxidaokuozhangjiyundongshenjingyuanhuodong,congerdaozhishuimianshiyanbukuozhangjijilijiandi。

chuleshuimianduodaotupsgwai,yixiejiandandeshuimianjiancexitonghejiatinghuoshoutishijiancexitong,ruembletta、maibochuandishijianjiancexitong、xindianjiancejishuzailinchuangshangyekeyongyuosahsdechushai,bufenyijingchenggongyingyongyulinchuang。danshiduiyulinchuangshanggaoduhuaiyicunzaiosahserzheixiejiancejieguoyinxingdehuanzhe,rengxuyaojinxingpsgjiance。

OG真人qijinweizhi,“jingbichixuqidaoneizhengyatongqi”(continuoas positive air pressure,cpap)rengranshizhiliaoosahshuanzheshouxuandezuiyouxiaodezhiliaocuoshi。zidongdiaoyacpapzhiliaoketigaoqingzhongduhuotiweixingosahshuanzheduicpapzhiliaodeyicongxing。yanjiuzhengshi,jingkoucpapzhiliaoxiaoyingyujingbicpapyizhi,duiyucunzaibibubingbianerbunengnaishoucpapzhiliaodeosahshuanzhe,jingkoumianzhaocpapzhiliaoshiyigebucuodexuanze,danzhiliaoshicunzaikougan、liuxiandengbuliangfanying。yanjiuhaibiaoming,cpapzhiliaokeyitigaoosahshuanzhedeyidaosuminganxing,keyigaishanzuoshigongnengheshenghuozhiliang。shiyingxingzhichitongqizhiliaokeyimingxianjiuzhengchongxuexingxinlishuaijiehuanzhedehuxi,congergaishanqibaitianshishuidezhengzhuanghexingongneng。

waikeshoushuzhiliaoosahsxuyaoyangezhangwoshiyingzheng,shuqianxulejiezusaibuwei。fenjieduanduobuweishoushudezhiliaoxiaoguoyaohaoyuyiqiandeyicixingshoushufangshi。kouqiangjiaozhengqiheshepinjianrongshuzhiliaoosahsdexiaoguojinyibuyezailinchuangshangdedaoyanzheng,zhiliaoshirenxuyangezhangwoshiyingzheng,yibanshiyongyudanchunhansheng、qingduhuobufenzhongdushuimianhuxizantingzonghezhengbingren。

cpapsuirankeyijiejuehuanzhewanshanghuxizantingdewenti,danduiyubaitianfashengdeshishuizhengzhuangquewunengweili。zheishi,kecaiquyaowuzhiliaolaihuanjiebingqing。

OG真人yaowuzhuyaoshitongguogaibianshuimianhuxizantingzonghezhenghuanzhedeshuimianshijian、gaishanhuanzhedehuxikongzhigongnenglaijianqingshuimianhuxizantingdebingqingde。jinqiyanjiubiaoming,,zuduan5-qiangseanzaishequdeyaowu,rudingluohuantong、fuxiting、paluoxitingdeng,keyicijiyanbukuozhangji,congerjianqingosahshuanzhezhengzhuang。yinci,gaileiyaowuyouwangchengweiosahsyaowuzhiliaodetupokou,danqilinchuangzhiliaoxiaoguorenxujinyibushenruyanjiuhezhengshi。qitayanjiuhaixianshi,fuyongmodafeinikeyimingxiangaishanhuanzhebaitianshishuidezhengzhuang。

OG真人guowaiduishuimianhuxijibingdeyanjiubijiaozao,xiangguandetouruyebijiaoda。2008nianmeiguoyiyueyou4000jiashuimianzhenduanzhongxin,yinianxinzenghuxijizhiliaodeosahshuanzheda60wanrenzuoyou。peibeijiqihefuwugongzuojunyoujiatingyiliaofuwugongsiwancheng。zaijiqidexinghaoxuanzeshang,baoxiangongsichuyujingjiyuanyin,kongzhishifenyange。yibanzhijihuanzhepeizhiputongcpap。

OG真人zaiqitayixiediqu,2008nianfaguotongguoxinzenghuxijizhiliaoosahshuanzhe9wanduoren,deguoyuewei8wanren,ribenyue5wanren。zaizheixieguojia,huanzheshiyongautocpapdezhangqiliaoxiaomingxianhaoyuputongcpap。suizheautocpapyuputongcpapdejiageyuelaiyuejiejin,baoxiangongsigengzhichihuanzhepeizhiautocpap。jiatingyiliaofuwubimianlehuanzheyinosahsyinfayanzhongjibingerdaozhigengduodeyiliaoziyuanshiyonghuogengdadejingjikaixiao,zaihendachengdushangbaozhanglehuanzhezhangqiyouxiaodezhiliao。weici,baoxiangongsiweijiatingyiliaogongsimeiniantigongyidingdeyiliaofuwufeiyong,qiantishiyaoqiubaozhenghuanzhepingjunmeitianzhishaoyouxiaoshiyonghuxiji3xiaoshiyishang。weilebianyujiandu,zaijiqineibushezhiyoushiyongshijianjizhiliaoyalidejilugongneng。

zaideguo、faguo,zheizhongjiatingyiliaofuwufeiwei1600~1800ouyuan|(ren。nian);zairiben,cpapweisanwanduoriyuan(ren。nian),shuangshuipinghuxijiwei5wanduoriyuan(ren。nian)。

woguozaishuimianyixuefangmiandejinzhan

woguozhongyihenzaojiuyouleogzhenrenshuimianyixuedexiangguanlilun。congliangqianduonianqiande《huangdineijing》kaishi,lidaiyixueduishuimiandeshengli、binglijizhizezhifadouyoufengfudejizai,er《huangdineijing》de“tianrenxiangying”,“yinyangxiaozhang”ji“weiqiyunxing”xueshuozeshizhongyizhiliaoshuimianjibingdelilunjichu。zheiyixueshuorenweirenyuziranshiyigeyoujizhengti,ziranjiedeyundongbianhuazhijieyingxiangzherenti,shijitixiangyingfashengshenglihuobinglishangdefanying。ziranjiedezhouyegengdiefanyingleyinyangxiaozhangdeguilvyundong,rendeyinyangxiaozhangyuqixiangying,rentineilaiyuanyushuigujingqideweiqi,suizhouyebianhuaerjinxingyinyangxiaozhangchurudeguilvyundong,yinyangzhiqidejiaotishengshuaichanshengrentideshuimian----juexingzhouyejielv。《suwen*jinkuizhenyanlun》yue: “pingdanzhirizhong,tianzhiyang,yinzhongzhiyinye;rizhongzhihuanghun,tianzhiyang,yangzhongzhiyinye;heyezhijiming,tianzhiyin,yinzhongzhiyinye;jimingzhipingdan,tianzhiyin,yinzhongzhiyangye。gurenyeyingzhi。”《lingjiu。kouwen》yue: “weiqizhourixingyuyang,yebanzexingyuyin。yangqijin,yinqisheng,zemuming;yinqijineryangqisheng,zewuyi”。

OG真人yuxiandaiyixuexiangbi,liangqianduonianqianzhongyideyinyangxiaozhang、weiqiyunxingxueshuoyuxiandaiyixuedeshuimian---juexingzhouyejielvdeshengwuzhonglilunruchuyizhe。zaizhiliaoshang,xiyizhuyaoyongandingleiyaowuyizhizhongshushenjingxitong,shouduandanyi。erzhongyidebianzhengshizhizhengtidiaojie,yinreneryi,zhenzhengtixianle“yirenweiben”。zhongyibashimianfenwei7zhongleixing,meizhongleixingpeiyibutongde“fangfa”,duizhengxiayaojinxingzhiliao;ciwaizhongyihaiyouzhenjiu,erzhen,shiliaodengzhiliaoshimiandeshoufa,qineirongzhifengfushixiyiwufabinide。

woguodexiandaishuimianyixueqiyuanyu20shiji80niandaiduishuimianhuxizantingderenshi。1981nian,beijingxieheyiyuandehuangxizhenjiaoshoujianlilewoguodiyigeshuimianhuxijibingzhenliaozhongxin。jingguo20yuniandefazhan,jubuwanquantongji,muqianyiyou600duojiayiyuanshelileshimianzhongxinhuoshimianshiyanshi。1994nianchenglilezhongguokexielingdaoxiadeguojiayijixuehui——zhongguoshuimianxiehui,shejijichuyanjiujilinchuangyixuedehuxi,erbihou,kouqiang,erke,shenjingjingshen,laonian,xinxueguanjizhongyixuedenggegexueke。

zhonghuayixuehuihuxijibingfenhuiyu2000nianchenglileshimianxuezu,bingyu2002nianzhidingle《zusaixingshuimianhuxizantingditongqizhiliaozhinan》。bushaodadeyixueyuanpeiyangleshuimianyixuelingyudeyanjiusheng,xiangguanneironglieruleyixuebenkeshengjiaocai。shuimianyixuezhishiyujinengyijinglieruweishengbuzhidingdezhuankeyishipeiyangfanganzhong。guoneizizhuyanfadewuchuanghuxijibaokuocpap, bipap, autocpap junyimianshi。zaishuimianyixueshijianzhong,shuimianhuxiyixueshizhongyebijiangshixuekezhongzuijuhuolidebufen。

2009nianshuimianxuezubianxiechubanleneirongquanmianxinyingde《shuimianhuxibingxue》,bingqieyuxinxueguanke,neifenmikezhuanjiazhidingle《osayuxinxueguanjibingzhuanjiagongshi》,《osayutangniaobingzhuanjiagongshi》。zheixiedoujiangdalituijinwoguoshuimianhuxibingxuedefazhan,tigaowoguoxinxueguanbingdefangkongshuiping。

*weisheng*

yixiangzaizhongguoshanghai,beijing,guangzhou,nanjing,hangzhoudengchengshiogzhenrendeqijinweizhizuidaguimodeshuimiandiaochaxianshi,25.9%deguorenrenweizijiyoushuimianzhangai,erqizhongyueyoubanshurenweicaiqurenhecuoshi。gengzhidezhuyideshi,42.5%debeidiaochazhezaihuidaguojitongxingdeyasenshimianliangbiaoshibiaomingtamendezhengtishimianzhiliangbulixiang。zhuanjiamenrenwei,renmenyuanyuandigulezishendeshuimianzhangaiwenti。muqianwoguoyueyou4000wanrenhuanyoushimianhuxijibing。

为唤起全民对睡眠重要性的认识,2001年,国际精神卫生和神经科学基金会主办单位:OG真人 - og真人游戏官网

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