My husband snores strangely at night. It seems that he normally takes a breath, holds his breath, and then comes out with the sound bit by bit. ...

Hello! Normal people can snore as you say, but if you snore evenly first and then pause occasionally, you need to pay attention. They need to go to the hospital otolaryngology department for sleep monitoring to rule out respiratory sleep apnea syndrome.

Sleep apnea syndrome, also known as sleep apnea hypopnea syndrome, refers to the clinical symptoms such as recurrent apnea for more than 30 times or sleep apnea hypopnea index (AHI)≥5 times/hour with drowsiness within 7 hours of sleep every night. Apnea refers to the complete cessation of respiratory airflow in oral cavity and nasal cavity during sleep for more than 10 second; Hypoventilation refers to the decrease of respiratory airflow intensity (amplitude) by more than 50% compared with the basic level during sleep, accompanied by the decrease of oxygen saturation by ≥4% compared with the basic level. Sleep apnea hypopnea index refers to the number of times of apnea plus hypopnea during sleep time per hour.

Disease symptoms

The clinical manifestations and symptoms mainly come from the stenosis and obstruction of upper respiratory tract and the decrease of oxygen saturation caused by it. The main clinical manifestations are: 1. Snoring. Snoring in sleep is caused by the vibration of the soft palate when air passes through the oropharynx. Snoring is the characteristic performance of OSAHS, which is very loud and very loud; Snoring is irregular and intermittent, which is the apnea period. 2. Extreme sleepiness during the day. Patients with OSAHS feel sleepy or sleepy during the day and can fall asleep immediately, but they can't control it. Sometimes they fall asleep in meetings, at work, when talking to each other, when eating, and even when they fall down by bike. 3. Abnormal behaviors and symptoms will appear during sleep apnea. Patients often wake up, even suddenly sit up, sweating profusely, and have a sense of dying. In sleep, there are often body movements such as flapping tremor and sleepwalking. 4. enuresis at night. 5. Headache. 6. Personality changes include impatience, depression, insanity, hallucinations, extreme sensitivity, hostility and hyperactivity, which are prone to misconduct, jealousy, suspicion, anxiety and depression, mental and memory loss and sexual dysfunction, and in severe cases, diseases of cardiovascular system and other important vital organs. OSAHS caused by jaw deformity also have corresponding oral and maxillofacial symptoms, such as mandibular retraction, mandibular retraction, mandibular deformity, disorder and difficulty in opening.

Disease risk

When suffering from obstructive sleep apnea syndrome (OSAHS), recurrent hypoxemia and hypercapnia can lead to neurological dysfunction, imbalance of catecholamine, endothelin and renin-angiotensin system, endocrine dysfunction and hemodynamic changes, resulting in systemic multi-organ and multi-system damage, which seriously affects human health. Its harm is mainly manifested in the following aspects. 1. Influence on cardiovascular system (1) Hypertension: Data show that OSAHS is an important factor in the occurrence and development of hypertension. At least 30% patients with hypertension are complicated with OSAHS, and 45% ~ 48% patients with OSAHS are complicated with hypertension. (2) Coronary heart disease: Coronary angiography showed that 35% patients with coronary heart disease with single or multiple coronary artery stenosis complicated with OSAHS (3) heart failure. The main reasons are myocardial ischemia, hypoxia and pressure changes in chest cavity caused by apnea, which aggravate the heart load and reduce the cardiac output. OSAHS may lead to or aggravate heart failure in patients with heart disease. (4) Arrhythmia: About 80% patients with OSAHS have obvious bradycardia, 57% ~ 74% patients have ventricular premature beats, and 65,438+00% patients have second-degree atrioventricular block. (5) Stroke: During the onset of apnea, the blood flow decreases (caused by the increase of negative pressure in thoracic cavity and intracranial pressure), and hypercoagulability, atherosclerosis and hypertension significantly increase the incidence of OSAHS. 2. The renal damage caused by 2.OSAHS can be complicated with proteinuria or nephrotic syndrome, and its clinical manifestations are increased nocturia and edema, and a series of manifestations of renal insufficiency can occur in severe cases. 3. The effects on the nervous system may include hallucinations before falling asleep, unconscious behaviors, limb convulsions and spasms after falling asleep. Brain damage caused by hypoxia and circulatory disorders can lead to mental retardation, memory loss and personality changes. 4. Impact on the mental system (1) Cognitive dysfunction: The cognitive function of patients is completely affected, with the most obvious damage to attention, concentration, complex problem solving ability and short-term memory. The alertness of patients with OSAHS decreases, which increases the incidence of motor vehicle accidents. (2) Mental disorders: Depression, anxiety, hypochondriasis and other symptoms are the main symptoms. There are also some simple paranoid psychosis and manic psychosis patients. Abnormal behaviors are not uncommon, such as restless sleep, moving hands and feet, and sometimes sleepwalking. 5. Impact on the blood system Hypoxemia can stimulate the kidneys, secrete erythropoietin, and cause secondary polycythemia, which leads to increased blood viscosity, slowed blood flow, and increased the chance of cerebral thrombosis. In addition, it can accelerate atherosclerosis and increase vascular diseases. 6. Effect on endocrine system In children with obstructive sleep apnea syndrome, the rapid eye movement sleep is reduced, and the release of growth hormone is reduced to varying degrees, which affects the slow growth and development of children. 7. Influence on sexual function Patients with sleep apnea may have sexual dysfunction.