PDF(Pubmed)
Abstract：
Obstructive sleep apnea (OSA) presents a significant challenge to patients\' overall health and well-being, characterized by upper airway collapse during sleep leading to fragmented and non-restorative sleep patterns. This case report describes an 80-year-old female patient presenting with breathlessness, obesity (BMI: 43 kg/m2), sleep disturbances, fatigue, attention deficits, reduced chest compliance, and a history of type 2 diabetes mellitus. Clinical findings revealed ongoing sleep disruptions, worsening breathlessness, progressive weakness, and decreased oxygen saturation levels. The therapeutic intervention involved a comprehensive physiotherapy program targeting respiratory muscle training, lung function improvement, peripheral muscle strengthening, and relaxation exercises. The discussion highlights studies supporting physiotherapeutic interventions such as thoracic extension exercises, neuromuscular stimulation, and oropharyngeal exercises for managing OSA symptoms. Overall, this case underscores the importance of tailored physiotherapy interventions in addressing the multifaceted challenges of OSA, aiming to improve patient outcomes and quality of life.
摘要：
阻塞性睡眠呼吸暂停（OSA）对患者的整体健康和福祉提出了重大挑战，以睡眠期间上呼吸道塌陷为特征，导致零散和非恢复性睡眠模式。此病例报告描述了一名80岁的女性患者，表现为呼吸困难，肥胖（BMI：43kg/m2），睡眠障碍,疲劳,注意力缺陷，降低胸部顺应性，有2型糖尿病病史.临床发现显示持续的睡眠中断，呼吸困难加剧，进步的弱点，和氧饱和度降低。治疗干预涉及针对呼吸肌训练的全面物理治疗计划，肺功能改善，外周肌肉加强，和放松练习。讨论重点介绍了支持理疗干预措施的研究，例如胸部伸展运动，神经肌肉刺激,和控制OSA症状的口咽锻炼。总的来说,该案例强调了量身定制的物理治疗干预措施在解决OSA的多方面挑战方面的重要性，旨在改善患者的预后和生活质量。
