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Konservative Therapie beim Schnarchen

Conservative therapy for snoring

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Somnologie - Schlafforschung und Schlafmedizin Aims and scope Submit manuscript

Zusammenfassung

Schnarchen ist ein häufiges Phänomen. Betroffene Patienten ohne begleitende Schlafapnoe leiden selten unter klinischen Beschwerden. Daher stellen sich die Patienten oft erst dann vor, wenn sich die direkte Umgebung vom Schnarchen gestört fühlt oder die Patienten unter lokalen Beschwerden wie Mundtrockenheit leiden. Diskutiert wird, ob Schnarchen nur einem lokalen oder einem pathologischen Phänomen entspricht. Als Therapiemaßnahmen stehen Gewichtsreduktion, Positionstherapien wie auch lokale Maßnahmen zur Verfügung. Des Weiteren können die Patienten mit obstruktivem Schnarchen in ausgesuchten Fällen eine Unterkieferprotrusionsschiene oder eine CPAP-Therapie anwenden oder einer neuromuskulären Stimulationstherapie zugeführt werden. Da bislang zu wenige Studien vorliegen, die die Therapieeffektivität bei Schnarchern untersucht haben, kann keine allgemeingültige Therapieempfehlung ausgesprochen werden.

Abstract

Although snoring is a frequent issue, snorers without concomitant sleep apnea rarely suffer from clinical symptoms. Therefore, the need for therapy only arises when bed partners feel bothered or local discomfort like xerostomia appears. It is unclear if snoring is a pathological problem. Therapeutic approaches comprise weight loss, positional and local therapy as well as neurostimulation. Moreover, patients with obstructive snoring might use mandibular advancement devices or continuous positive airway pressure therapy. Until now, there is no general therapeutic strategy for snorers without sleep apnea due to an insufficient number of clinical trials addressing therapy efficacy in those patients.

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Einhaltung ethischer Richtlinien

Interessenkonflikt: C. Priegnitz und W.J. Randerath geben an, dass kein Interessenskonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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  1. Institut für Pneumologie, Universität Witten Herdecke, Krankenhaus Bethanien gGmbH, Aufderhöher Str. 169–175, 42699, Solingen, Deutschland

    C. Priegnitz & W.J. Randerath

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Priegnitz, C., Randerath, W. Konservative Therapie beim Schnarchen. Somnologie 18, 96–100 (2014). https://doi.org/10.1007/s11818-014-0663-z

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