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ЗАКЛЮЧЕНИЕ. Расстройства дыхания в период сна имеют разнообразные клинические симптомы
Расстройства дыхания в период сна имеют разнообразные клинические симптомы. Наиболее распространенными из них являются ощущение неосвежающего сна, избыточная дневная сонливость и утомляемость, когнитивные расстройства. В настоящее время существует все больше доказательств того, что расстройства дыхания в период сна приводят к развитию часто встречающихся сердечнососудистых осложнений и метаболических расстройств, включая системную артериальную гипертензию, нарушения функции сердца, а также резистентность к инсулину. Самым распространенным дыхательным расстройством в период сна является обструктивное апноэ сна, для лечения которого назначается чрезмасочная СРАРтерапия в период сна. Центральное апноэ сна может развиваться в виде самостоятельного расстройства или в сочетании с центральными нарушениями дыхания в период бодрствования, сопровождающимися гиповентиляцией. Чаще всего центральное апноэ сна сочетается с периодическим дыханием (дыхание Чейна - Стокса), особенно у пациентов с застойной сердечной недостаточностью. Центральное апноэ сна способно вызывать ухудшение функции миокарда и усиливать прогрессирование заболевания. Чрезмасочная СРАРтерапия является эффективным методом лечения центрального апноэ сна, в том числе она может оказывать положительное воздействие на функцию сердца у больных с синдромом Чейна - Стокса. СПИСОК ЛИТЕРАТУРЫ 1.Aserinsky E, Kleitman N: Regularly occurring periods of eye motility, and concomitant phenomena, during sleep. Science 118:273-274, 1953. 2.Dement WC, Kleitman N: Cyclic variations in EEG during sleep and their relation to eye movements, body motility, and dreaming. Electroencephalogr Clin Neurophysiol 9:673-690, 1957. 3.Jouvet M: Neurophysiology of the sleep states. 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