上呼吸道肌力訓練對改善阻塞型睡眠呼吸中止症之探討

Explore the upper Respiratory Tract Muscle Training to Improve Obstructive Sleep Apnea

阻塞型睡眠呼吸中止症為常見的睡眠疾病，易造成日間嗜睡、記憶力減退、注意力不集中及影響生活品質。在治療方面，主要以陽壓呼吸器和止鼾器為主；但由於配戴時的不適感及經濟上的負擔，讓患者在使用上缺乏耐受性。因此，上呼吸道肌力訓練方法逐漸被運用在阻塞型睡眠呼吸中止症的治療上，其中包括有神經肌肉刺激、樂器吹奏和口咽運動。結果發現對於阻塞型睡眠呼吸中止症的呼吸中止指數都有顯著改善，可提供OSA患者另一種治療的選擇，但需要持之以恆才有長期治療的效果。

Obstructive sleep apnea (OSA) is a common sleep problem that results in symptoms of excessive daytime sleepiness, memory deterioration, and attention deficiency with impacts on the quality of life. OSA is also highly associated with some death factors. In terms of intervention, the primary treatment including: continuous positive airway pressure (CPAP) and oral appliances. However, patients lack tolerance for using the device due to the discomfort of the device's installation and financial burden. Therefore, the strategy of training of the upper respiratory tract muscle, including neuromuscle stimulation, instrument performance, and pharynx exercises, has become the strategy for OSA treatment. The results that Apnea-Hypopnea Index (AHI) has improve of OSA patients. This ways that can provide another treatment option of OSA patients, but requires persistence have long-term effects of treatment.