How is sleep apnea syndrome treated?

Mar 08, 2021 Source: Cainiu Health
Dr. Guo Xiheng
Introduction
1. Western pharmacotherapy, such as aminophylline and acetazolamide, which can all stimulate respiration. 2. Traditional Chinese medicine (TCM) therapy: For patients with mild obstructive sleep apnea syndrome (OSAS), proprietary Chinese herbal medicines may be selected for treatment. 3. Surgical intervention: Many patients with OSAS present concomitant conditions such as adenoid hypertrophy.

Obstructive sleep apnea syndrome (OSAS) presents with relatively prominent symptoms; patients experience transient cessation of breathing during sleep. This condition significantly impacts patients’ physical health, necessitating effective treatment to prevent sudden death. So, how is sleep apnea syndrome treated? Below, we provide a detailed explanation.

Doctor 7.jpg

How Is Sleep Apnea Syndrome Treated?

1. Western Pharmacotherapy

When patients develop sleep apnea syndrome, those with the central nervous system (CNS) type may be treated with respiratory stimulants that activate the respiratory center—for example, aminophylline or acetazolamide—which enhance respiratory drive. Additionally, medications such as medroxyprogesterone acetate and protriptyline may be used to augment central respiratory drive. Furthermore, polysomnography (sleep study) should be performed to assess disease severity. In severe cases—particularly when central and obstructive components coexist—noninvasive positive airway pressure (PAP) therapy is mandatory.

Doctor 12.gif

2. Traditional Chinese Medicine (TCM)

For patients with mild sleep apnea syndrome, proprietary Chinese herbal medicines may be considered. The most commonly prescribed is Hongcao Zhihan Capsules, composed of Arctium lappa (burdock seed), Ephedra sinica (ma huang), Lobelia chinensis (half-flower lotus), Glycyrrhiza uralensis (licorice root), Rhodiola rosea (Hongjing Tian), and Inula helenium (elecampane root); this formulation promotes airway patency, benefits lung function, and soothes the pharynx. For patients experiencing sleep disturbances, Qiyeshen’an Tablets may also be used. However, all such medications must be taken strictly under physician supervision to avoid exacerbation of the condition.

Doctor 1.jpg

3. Surgical Intervention

Many patients with sleep apnea syndrome present with concomitant adenoid hypertrophy and/or tonsillar hypertrophy. In such cases, surgical options include adenoidectomy and/or tonsillectomy. For patients with severe disease, tracheostomy may be indicated. Oral appliances may also be employed for treatment; however, these devices are effective only for simple snoring and cannot cure sleep apnea syndrome.

The above outlines current approaches to treating sleep apnea syndrome. We hope this information proves helpful.