原发性打鼾影响了成年人口的很大一部分,并有可能严重损害生活质量。这些指南的目的是提供基于证据的建议,以帮助澳大利亚医生管理患有原发性打鼾而没有明显阻塞性睡眠呼吸暂停的成年患者。时间表,附录S1概述了建立本立场声明的方法和标准。主要建议是:减肥,建议减少饮酒,在适当的情况下,如果临床判断要求,建议减少或避免使用苯二氮卓类药物和阿片类药物,在牙齿患者的仰卧位为主打鼾者中,应考虑进行定位治疗,下颌前移装置(MAD)应被推荐为一线治疗,由适当的牙医和睡眠医师进行评估后,对于已经使用或愿意尝试的原发性打鼾患者,建议使用持续气道正压通气(CPAP)装置。建议由具有适当资格的外科医生进行原发性打鼾的手术治疗,包括鼻腔(辅助),腭和其他干预措施本立场声明是根据现有的最佳证据和我们的综合专家临床经验设计的,以促进对原发性打鼾患者的管理。它为临床医生提供了一系列非手术和手术选择,旨在实现最佳的症状控制和患者预后。这是在澳大拉西亚建立的第一套这样的建议,也得到了澳大拉西亚睡眠协会的审查和认可。
Primary snoring impacts a significant portion of the adult population and has the potential to significantly impair quality of life. The purpose of these
guidelines is to provide evidence-based recommendations to assist Australasian practitioners in the management of adult patients who present with primary snoring without significant obstructive sleep apnoea. The Timetable, Methodology and Standards by which this Position Statement has been established is outlined in the Appendix S1. The main recommendations are: Weight loss, and reduced alcohol consumption should be recommended, where appropriate If clinical judgement dictates, benzodiazepine and opioid reduction or avoidance may be advised Positional therapy should be considered in supine dominant snorers In dentate patients, Mandibular advancement devices (MAD) should be recommended as a first line treatment following assessment by both an appropriate Dentist and Sleep physician Continuous positive airway pressure (CPAP) devices may be recommended in patients with primary snoring in those already committed to their use or willing to try Surgical treatment of primary snoring by an appropriately credentialled surgeon may be advised and includes nasal (adjunctive), palatal and other interventions This position statement has been designed based on the best available current evidence and our combined expert clinical experience to facilitate the management of patients who present with primary snoring. It provides clinicians with a series of both non-surgical and surgical options with the aim of achieving optimal symptom control and patient outcomes. This is the first such set of recommendations to be established within Australasia and has also been reviewed and endorsed by the Australasian Sleep Association.