How to diagnose and treat impaired respiratory reflexes? Let’s find out: The cough and sneeze reflexes are both part of the respiratory reflex regulation. Cough may be the only symptom of asthma. It is mainly a prolonged and persistent dry cough, often triggered by inhalation of irritating odors, cold air, exposure to allergens, exercise or upper respiratory tract infection, and in some patients there is no trigger. It mostly intensifies at night or in the early morning. Some patients have seasonal attacks, mostly in spring and autumn. The sneeze reflex is similar to the cough reflex in that it begins with a deep inhalation followed by a sharp, forceful exhalation. It differs from the cough reflex in that the uvula descends and the tongue presses against the soft palate, rather than the vocal cords closing. The rapid airflow ejects mainly from the nasal cavity. If impaired regulation of the respiratory reflex is confirmed as a result of respiratory failure, then: if the patient is less ill, he or she can be treated on an outpatient basis; in severe cases, hospitalization is appropriate. First of all, actively treat the primary disease, and use antibiotics to remove the triggering factors if there is an infection. Keep the respiratory tract unobstructed and effective ventilation, and give drugs such as salbutamol, terbutaline sulfate, acetylcysteine, bromhexine hydrochloride and other drugs to relieve bronchospasm and expectorant, and if necessary, use Niclosamide adrenocorticosteroids intravenously. To correct hypoxemia, nasal cannula or face mask oxygen can be used to improve hypoxemia with severe hypoxia and carbon dioxide retention with PaO2 <7.32 Kpa (55 mmHg) and markedly increased PaCO2 or pulmonary encephalopathy with severe impairment of consciousness. Finally, attention should be paid to the treatment of acid-base imbalance, heart rhythm disorders, heart failure and other complications. If central sleep apnea is confirmed, there are two types of non-surgical treatment and surgical treatment. 1. Transnasal continuous positive airway pressure breathing. This method is currently the most effective non-surgical treatment for OSAHS. It can be used as a therapy alone or in conjunction with surgery, but it is generally difficult for patients to adhere to it for a long time. 2. Various orthoses. Wearing special orthoses during sleep can elevate the soft palate to expand the oropharynx and hypopharynx and improve breathing, which is one of the main means of treating snoring or an important auxiliary means of non-surgical treatment for OSAHS, but it is not effective for patients with severe disease. 3.Oxygen inhalation as well as various drug treatments. Such as neurorespiratory stimulants, etc., is also one of the auxiliary treatment methods. 4.Surgery is the basic method of treatment for OSAHS. The purpose of surgical treatment is to reduce and eliminate airway obstruction and prevent collapse of the soft tissues of the airway. Commonly used surgical methods include tonsil and adenoidectomy. Nasal surgery. Linguoplasty. Palatoplasty, palatoplasty, pharyngoplasty (UPPP), orthognathic surgery.
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