{"id":1315,"date":"2024-07-07T19:08:16","date_gmt":"2024-07-07T17:08:16","guid":{"rendered":"https:\/\/dr-holger-hein.de\/reloaded\/?p=1315"},"modified":"2024-07-07T19:08:16","modified_gmt":"2024-07-07T17:08:16","slug":"therapie-der-obstruktiven-schlafapnoe-mit-hypoglossusnervstimulation","status":"publish","type":"post","link":"https:\/\/dr-holger-hein.de\/reloaded\/2024\/07\/07\/therapie-der-obstruktiven-schlafapnoe-mit-hypoglossusnervstimulation\/","title":{"rendered":"Therapie der obstruktiven Schlafapnoe mit Hypoglossusnervstimulation"},"content":{"rendered":"\n<p>Ein Review von 10 Studien 2209 Patienten zeigte, da\u00df verglichen mit anderen chirurgischen Verfahren die Stimulation des N. hypoglossus 5,33-fach h\u00e4ufiger zu einer deutlichen Verminderung bzw. Normalisierung des Apnoe-Hypopnoe-Index f\u00fchrt, und auch die Werte der Epworth-Skala (ESS) unter der Nerevenstiulation deutlich besser reduziert werden. Verglichen mit CPAP war kein signifikanter Unterschied zu messen, allerding lag die Mitte des Konfidenzintervalls der AHI-Reduktion bei 0,69-0,77 (je nach AHI-cutoff) verglichen mit CPAP, in der ESS-Reduktion-gab es kaum Unterschiede. (Kim DH, Kim SW, Han JS, Kim GJ, Park JH, Basurrah MA, Kim SH, Hwang SH.\u00a0Comparative effectiveness of hypoglossal nerve stimulation and alternative treatments for obstructive sleep apnea: a systematic review and meta-analysis. J Sleep Res. 2024 May;33(3):e14017. doi: 10.1111\/jsr.14017. Epub 2023 Sep 4. PMID: 37661785.)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ein Review von 10 Studien 2209 Patienten zeigte, da\u00df verglichen mit anderen chirurgischen Verfahren die Stimulation des N. hypoglossus 5,33-fach h\u00e4ufiger zu einer deutlichen Verminderung bzw. Normalisierung des Apnoe-Hypopnoe-Index f\u00fchrt, und auch die Werte der Epworth-Skala (ESS) unter der Nerevenstiulation deutlich besser reduziert werden. Verglichen mit CPAP war kein signifikanter Unterschied zu messen, allerding lag [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1315","post","type-post","status-publish","format-standard","hentry","category-allgemein"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"hein","author_link":"https:\/\/dr-holger-hein.de\/reloaded\/author\/hein\/"},"uagb_comment_info":0,"uagb_excerpt":"Ein Review von 10 Studien 2209 Patienten zeigte, da\u00df verglichen mit anderen chirurgischen Verfahren die Stimulation des N. hypoglossus 5,33-fach h\u00e4ufiger zu einer deutlichen Verminderung bzw. Normalisierung des Apnoe-Hypopnoe-Index f\u00fchrt, und auch die Werte der Epworth-Skala (ESS) unter der Nerevenstiulation deutlich besser reduziert werden. Verglichen mit CPAP war kein signifikanter Unterschied zu messen, allerding lag&hellip;","_links":{"self":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1315","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/comments?post=1315"}],"version-history":[{"count":1,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1315\/revisions"}],"predecessor-version":[{"id":1316,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1315\/revisions\/1316"}],"wp:attachment":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/media?parent=1315"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/categories?post=1315"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/tags?post=1315"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}