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[前沿] Sleeping With a Snorer

[前沿] Sleeping With a Snorer

前沿

原创与否 -
原文链接:http://well.blogs.nytimes.com/2009/06/11/sleeping-with-a-snorer/?em

Sleeping With a Snorer

By Tara Parker-Pope

Is your partner’s snoring keeping you up at night?

After writing this week about the link between marriage and better sleep, I heard from several skeptical readers who were the long-suffering bed partners of snorers.

“I’m happily married, but never get a good night’s sleep because of the noise!” wrote Lisa.

“Are you kidding me?” Caroline wrote. “My husband snores louder than a lawnmower, and I kick him harder than Beckham with a soccer ball. We both slept much better when single.”

It’s true that sleeping with a snorer can take a toll on your health. People who sleep next to snorers report high levels of fatigue and sleepiness and may even be at higher risk for hearing loss.

Often, snoring is due to obstructive sleep apnea, which is characterized by episodes of interrupted breathing during sleep, which leads to regular nighttime awakenings linked with a number of health problems.

But studies show that the person with sleep apnea isn’t the only one waking up. When the apnea is accompanied by loud snorts and snoring, the bed partner may wake up as often during the night as the person with the actual sleep disorder. One study from the Mayo Clinic in Rochester, Minn., found that spouses of snorers woke up, at least partially, an average of 21 times an hour, nearly as often as the 27 times the snorers were awakened by their sleep apnea episodes.

In a 2005 study from Finland of 37 male snorers and their bed partners, half of the bed partners reported being disturbed by snoring every night or almost every night. One third of the bed partners reported relationship problems as a result of the snoring.

In a 2003 study published in the journal Chest, doctors from the Mayo Clinic in Scottsdale, Ariz., tracked the spouses of 54 patients with sleep apnea. Once the sleep apnea and snoring were treated, the spouses’ quality-of-life scores surged more than those who received the actual treatment. And treating the apnea also improved sleepiness scores among the spouses by 20 percent.

Second-hand snoring also may take a toll on hearing. In a pilot study of just four snorers in Kingston, Ontario, all the patients had slept next to a snorer for at least 15 years. The study showed that the bed partners had significant noise-induced hearing loss in the one ear that was most exposed to the snoring.

Solutions are difficult. One study found that earplugs can be a simple and effective treatment for bed partners of snorers, but for some people, especially parents of young children, earplugs aren’t a practical option. Often, treating sleep apnea can help reduce snoring, and snorers should be evaluated by a sleep specialist. Weight loss can also improve sleep apnea, although many snorers aren’t overweight. Some snorers get relief using dental appliances that open up the airway, or surgical treatments that reduce the size of the soft palate.

To find out if second-hand snoring is taking a meaningful toll on your health, doctors suggest taking a “sleep vacation” from your partner by moving into another room to determine if your sleep, mood and daytime alertness improves. The test may help convince your partner that his or her snoring is more than just an amusing annoyance and a real medical issue that is affecting the health of both you and your relationship.


与会打鼾的人同床共枕
作者:Tara Parker-Pope


是否您的伴侣的鼾声让你晚上睡不着?
自从这周写了关于婚姻和更好的睡眠之间的联系后,我听到一些读者持怀疑态度,这些读者长期遭受伴侣打鼾的折磨。
“我幸福地结了婚,但是因为鼾声,我在婚后从未获得良好的睡眠! ”丽莎写道。
“你在开玩笑吧? ”卡罗琳写道。 “我的丈夫鼾声比割草机噪音还大,我踢他比贝克汉姆踢足球还狠,但我们都睡得好得比单身时好得多。 “
的确,与打鼾者同床共枕可以夺去你的健康。与打鼾者同眠的人们表现为相当的疲劳和嗜睡,甚至可能会有更高的听力受损风险。
通常情况下,打鼾是由于阻塞性睡眠呼吸暂停,其特点是发生在睡眠呼吸中断,从而导致经常性的夜间觉醒与很多相关的健康问题。
但研究表明,不止睡眠呼吸暂停的人会在夜间醒来。当呼吸暂停是伴随着粗鼻息和打鼾,伴侣可能会因睡眠障碍在夜间经常惊醒。一项明尼苏达州梅奥诊所进行的研究发现,至少部分打鼾者的配偶平均一小时醒来21次,几乎是打鼾者被自己的睡眠呼吸暂停事件惊醒频率的27倍。
在由芬兰的37个男性打鼾者和他们的伴侣进行的一项研究中,一半的伴侣反映每晚或是几乎每晚被鼾声吵醒。三分之一的伴侣反映由于打鼾影响彼此之间的关系。
在一项公布在Chest 杂志的研究中,亚利桑那州梅奥诊所的医生对54例睡眠呼吸暂停症患者的配偶进行了追踪。一旦睡眠呼吸暂停和打鼾治愈以后,配偶的生活质量分数上升超过了自身接受治疗。治疗呼吸暂停也能提高配偶嗜睡分数20%。
“二手鼾”也可能损害听觉。在一项在金斯敦,安大略两地4例患者身上进行的初步研究中,所有患者均与打鼾者共同居住15年以上,研究表明,伴侣邻近打鼾者的一侧耳朵有显著的噪声性听力损失。
要解决这个问题很困难。一项研究发现,耳塞可能是一个简单而有效的手段。但对有些人来说,特别是幼儿的父母,使用耳塞这种选择往往不现实。通常,治疗睡眠呼吸暂停可以帮助减少打鼾,而这些打鼾者都应当经过睡眠专家评估。减肥也可改善睡眠呼吸暂停,尽管许多打鼾者并不肥胖。一些打鼾者在使用牙科设备开放气道或手术治疗减小软腭体积后得以缓解使用。
要弄清楚“二手鼾”是否显著影响您的健康,医生建议采取“睡眠假期”的方式,也就是把睡眠地点从您的伴侣身边转移到另一个房间,来确定您的睡眠、情绪及日间警觉性是否有所提高。该测试以有助于说服您的伴侣,他(她)的打鼾不仅仅是一个有趣的噪声,而是一个影响您的健康和你们之间关系的医疗问题。


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