Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (3): 19-22.doi: 10.6040/j.issn.1673-3770.1.2019.002

• Invited Review • Previous Articles     Next Articles

Comments and opinions on the nomenclature of snoring disease

Min YIN(),Lei CHENG   

  1. Department of Otorhinolaryngology, The First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, Jiangsu, China
  • Received:2019-01-01 Revised:2019-03-20 Online:2019-05-20 Published:2019-08-07
  • Contact: Min YIN E-mail:simisodo@126.com

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Abstract:

The International Classification of Sleep Disorders (ICSD) renamed and redefined the term ′obstructive sleep apnea hypopnea syndrome′ (OSAHS) in 2005 and 2014; however, Chinese nomenclature still retains the term OSAHS. The term OSAHS is suggestive of the basic obstructive etiology of snoring, a necessary background of sleep, ａ typical feature of apnea and hypopnea, and ａ manifestation of a syndrome. The naming of OSAHS also reveals the clinical characteristics and diagnostic points of the condition, which seems reasonable. However， the word also reduces some misunderstanding because there are no real obstruction of upper airway, no real stop of breathing, and no clear boundary between apnea and hypopnea. As OSAHS has a clearly defined etiology and mechanism, characteristic symptoms and signs, diagnostic criteria, and effective treatments, it should be considered as an independent disease rather than a syndrome. The nomenclature of snoring disease in traditional Chinese medicine is much more refined and appropriate than OASHS.

Key words: Snoring, Obstructive sleep apnea syndrome, Pathological conditions, signs and symptoms

CLC Number: 

  • R766.7
1 PeltierLF. Obstructive apnea in artificially hyperventilated subjects during sleep[J]. Journal of Applied Physiology, 1953, 5(10): 614-618. doi:10.1152/jappl.1953.5. 10. 614.
doi: 10.1152/jappl.1953.5. 10. 614
2 SacknerMA, LandaJ, ForrestT, et al. Periodic sleep apnea: chronic sleep deprivation related to intermittent upper airway obstruction and central nervous system disturbance[J]. Chest, 1975, 67(2): 164-171. doi:10.1378/chest.67.2.164.
doi: 10.1378/chest.67.2.164
3 GuilleminaultC, TilkianA, DementC. The sleep apnea syndromes[J]. Annu Rev Med, 1976, 27(1): 465-484. doi:10.1146/annurev.me.27.020176.002341.
doi: 10.1146/annurev.me.27.020176.002341
4 Association of Sleep Disorders Centers and the Association for the Psychophysiological Study of Sleep. Diagnostic classification of sleep and arousal disorders (1979 first edition) [J]. Sleep， 1979, 2(1): 1-154. PMID:531417
5 American Academy of Sleep Medicine. The international classification of sleep disorders [M]. 2nd edition. American: Westchester, 2005.
6 SateiaMJ. International classification of sleep disorders-third edition[J]. Chest, 2014, 146(5): 1387-1394. doi:10. 1378/chest.14-0970.
doi: 10. 1378/chest.14-0970
7 殷敏, 程雷. 阻塞性睡眠呼吸暂停综合征的标准化诊断和个性化治疗[J]. 中国中西医结合耳鼻咽喉科杂志, 2010, 18(6): 301-303. doi:10.3969/j.issn.1007-4856. 2010.06.001.
doi: 10.3969/j.issn.1007-4856. 2010.06.001
8 中华耳鼻咽喉头颈外科杂志编委会, 中华医学会耳鼻咽喉科学分会. 儿童阻塞性睡眠呼吸暂停低通气综合征诊疗指南草案(乌鲁木齐)[J]. 中华耳鼻咽喉头颈外科杂志, 2007, 42(2): 83-84. doi:10.3760/j.issn:1673-0860. 2007.02.002.
doi: 10.3760/j.issn:1673-0860. 2007.02.002
Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery; Society of Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association. Draft of guidelines for the diagnosis and treatment of pediatric sleep apnea hypopnea syndrome (Urumqi)[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery,2007, 42(2): 83-84. doi:10.3760/j.issn:1673-0860. 2007.02.002.
doi: 10.3760/j.issn:1673-0860. 2007.02.002
9 中华医学会呼吸病学分会睡眠呼吸障碍学组. 阻塞性睡眠呼吸暂停低通气综合征诊治指南[J]. 中华结核和呼吸杂志，2012, 35 (1): 9-12.
10 BickelmannAG, BurwellCS, RobinED, et al. Extreme obesity associated with alveolar hypoventilation: A pickwickian syndrome[J]. The American Journal of Medicine, 1956, 21(5): 811-818. doi:10.1016/0002-9343(56)90094-8.
doi: 10.1016/0002-9343(56)90094-8
11 HerbergD. Sleep disorders and the Pickwick syndrome[J]. Verh Dtsch Ges Inn Med, 1965, 71: 840-849.
12 殷敏, 程雷. 多导睡眠图检查的应用与局限[J]. 中国中西医结合耳鼻咽喉科杂志, 2015, 23(2): 81-83.doi:10.16542/j.cnki.issn.1007-4856.2015.02.001
doi: 10.16542/j.cnki.issn.1007-4856.2015.02.001
13 YinM, NakayamaM, MiyazakiS, et al. How much influence does inspiration have on pulse transit time in sleep apnea[J]. Otolaryngol Head Neck Surg, 2008, 138(5): 619-625. doi:10.1016/j.otohns.2007.12.031.
doi: 10.1016/j.otohns.2007.12.031
14 阮岩. 中医耳鼻咽喉科学[M].北京：人民卫生出版社，2014: 180-182.
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