The night is late and the people are sleeping soundly, the pillow snores to the sky. The poor people who share the same bed, how to sleep in the sound of snoring. The people who snore are good sleepers, but who understands the taste of snoring. The breathing in the dream often stops, but there is no choice but to match the respirator. Snoring ≠ sleeping well I believe that many people have the experience of snoring while sleeping, and sometimes they are awakened suddenly when they cannot catch a breath. Do not think that snoring is “good sleep”, in fact, this is the typical performance of sleep apnea syndrome. If the apnea time exceeds 2 minutes, the patient will die suddenly due to prolonged lack of oxygen. Ninety percent of people who snore suffer from sleep apnea syndrome. Patients with sleep apnea syndrome can cause various cardiovascular diseases, diabetes, increased nocturia, renal insufficiency, dementia and other complications. Severe snorers may also lead to death by asphyxiation. It has been reported in the literature that about 3,000 people die every day worldwide due to sleep apnea. In China, there are about 450 million people suffering from snoring, among which there are about 52 million people suffering from sleep apnea syndrome. What do you know about sleep apnea syndrome Sleep apnea syndrome refers to a clinical syndrome in which various causes lead to repeated apnea and sleep interruption in the sleep state, thus causing a series of pathophysiological changes in the organism. Apnea refers to the complete cessation of airflow from the mouth and nose for more than 10 seconds during sleep. Sleep apnea syndrome is divided into 3 categories 1, central type 2, obstructive type 3, mixed type Obstructive respiratory sleep apnea syndrome accounts for the majority of respiratory sleep apnea syndrome, there are family clustering and genetic factors, most have the pathological basis of the upper respiratory tract, especially the narrowing of the nasal and pharyngeal areas, such as obesity, allergic rhinitis, nasal polyps, tonsillar hypertrophy, soft palate relaxation, tongue hypertrophy, tongue root posterior fall, etc.. Clinical manifestations 1, sleep apnea syndrome daytime clinical manifestations: (1) drowsiness: the most common symptom, the mild manifestation of daytime work or study time sleepy, drowsy, serious when eating, talking with people can fall asleep, and even serious consequences, such as dozing off while driving leading to traffic accidents. (2) Dizziness and weakness: Due to repeated apnea and hypoxemia at night, the sleep continuity is interrupted, the number of awakenings increases, and the quality of sleep decreases, often with mildly different dizziness, fatigue and weakness. (3) Mental behavior abnormalities: inattention, decreased ability to perform fine operations, decreased memory and judgment, inability to perform work when symptoms are severe, and dementia may be manifested in the elderly. (4) Headache: it often appears in the early morning or at night, vague pain is common, not severe, can last 1-2 hours, sometimes need to take painkillers to relieve. (5) Personality changes: irritability, excitability, anxiety, etc. 2. Clinical manifestations of sleep apnea syndrome at night: (1) Snoring: It is the main symptom, with irregular snoring, varying in height, often alternating snoring – airflow stopping – gasping – snoring, and the general time of airflow interruption is 20-30 seconds, individually up to 2 minutes or more. (2) Apnea: 75% of the co-sleepers in the same room or bed found that the patient had apnea and often pushed the patient awake for fear that breathing could not be restored, and the apnea was mostly terminated with gasping, stifled awakening or loud snoring. (3) Stifled awakening: Suddenly stifled awakening after apnea, often accompanied by turning over, involuntary movement of limbs or even convulsions, or suddenly doing up, feeling panic, chest tightness or discomfort in the precordial area. (4) Hyperactivity: due to hypoxemia, patients turn over and rotate more frequently at night. 3. Manifestations of systemic organ damage in sleep apnea syndrome: (1) Hypertension: The incidence of hypertension in patients is 45%, and the treatment of antihypertensive drugs is not effective. (2) Coronary heart disease: manifested by various types of arrhythmias, nocturnal angina pectoris and myocardial infarction. (3) Various types of cardiac arrhythmias. (4) Pulmonary heart disease and respiratory failure. (5) Ischemic or hemorrhagic cerebrovascular disease. Diagnosis of sleep apnea syndrome: 1. Clinical diagnosis: The preliminary clinical diagnosis can be made based on the patient’s snoring during sleep with apnea, daytime drowsiness, body obesity, thick neck circumference and other clinical symptoms. 2. Polysomnography monitoring: It is the gold standard for confirming the diagnosis, and can determine the type and severity of the condition. 3. Etiological diagnosis: Routine ear, nose and throat and oral examination are conducted for those who are diagnosed to understand whether there are local anatomical and developmental abnormalities, hyperplasia and tumors. Treatment of obstructive sleep apnea syndrome: 1. General treatment: (1) Weight loss: diet control, drugs and surgery. (2) Sleep position change: sleep on the side and elevate the head of the bed. (3) Quit smoking and alcohol and avoid sedatives. 2.Medication: the effect is not sure. 3.Apparatus treatment: At present, the most common method to treat sleep apnea syndrome is to wear a home non-invasive ventilator while sleeping. Its working principle, a certain pressure of airflow continuously through the air delivery hose and nasal (face) mask into the patient’s pharynx, forced to keep the patient’s upper airway open and airway open, so that the patient can breathe normally during sleep and will not affect sleep due to apnea. 4.Surgical treatment. Sleep apnea syndrome prevention: 1, enhance physical exercise, maintain a good lifestyle habits. 2, avoid tobacco and alcohol addiction, especially drinking alcohol before bedtime. 3, for obese people, to actively reduce weight and strengthen exercise. 4, pay attention to the monitoring of blood pressure, and take antihypertensive substances on time. 5.Before bedtime, sedative and sleeping substances are prohibited, so as not to aggravate the inhibition of the central respiratory regulation. 6, take the side sleep position, especially the right side sleep position is appropriate. The child snores is not a trivial matter, serious can affect intelligence The child snores while sleeping, and accompanied by nasal congestion, open-mouth breathing and other performance, do not think that the child sleeps well, this is most likely a sleep disorder disease. If children snore since childhood, always open their mouth to breathe, it will affect the later facial development, teeth alignment is not neat, there may be a protruding mouth, but also easy to repeated respiratory tract infections, causing sinusitis, etc. Seriously, it may affect intellectual development. Therefore, we should pay attention to its sleep condition to see whether there is apnea, record the number of apnea in an hour, how many seconds each pause to determine whether there is sleep apnea.