Sleep apnea syndrome (OSA) treatment, mainly divided into risk factor control, etiologic treatment, positional therapy (lateral sleep position), non-invasive airway positive pressure ventilation therapy, oral orthodontic devices, surgical treatment, etc..
1. Risk factor control: It is currently believed that obesity is an independent risk factor for OSA, so overweight and obese people should control their weight, which can be improved through dietary control, exercise, alcohol cessation, smoking cessation, etc. At the same time, it is necessary to be careful about using sedative-hypnotic drugs and other medications that can cause or aggravate OSA.
2. Etiologic treatment: Correct the underlying diseases that cause or aggravate OSA. If OSA patients have hypothyroidism, thyroxine should be used for treatment.
3. Postural treatment (lateral sleep): patients should be trained to sleep in the lateral position and told to keep sleeping in the lateral position as much as possible.
4. Non-invasive positive airway pressure (NAPP) ventilation: This is the first choice and initial treatment for adults with OSA, using a ventilator during sleep to improve hypoventilation during sleep.
5. Oral appliance: it is suitable for patients with simple snoring and mild to moderate OSA, and it can be tried for those who cannot tolerate CPAP, cannot have surgery or have poor surgical results. Contraindications: severe temporomandibular arthritis or dysfunction, severe periodontal disease, severe tooth loss.
6. Surgical treatment: Surgery is usually not appropriate as the initial treatment for this disease. Surgical options include UPPP and its modifications, mandibular anterior migration.
Once OSA is detected, it is recommended to go to the hospital for treatment under doctor’s supervision, and the above medications should be used according to doctor’s prescription.