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Snoring

Evidence last reviewed: 17 Jul 2026
Topic last updated: 31 Mar 2026

Summary

Определение

Анамнез и осмотр

Ключевые диагностические факторы

  • snoring (noisy breathing during sleep)
  • witnessed apneas
  • choking or gasping
Полная информация

Другие диагностические факторы

  • waking up tired
  • daytime somnolence
  • behavioral problems
  • faltering growth
Полная информация

Факторы риска

  • increasing age
  • male sex
  • overweight/obesity
  • craniofacial abnormalities
  • endocrine disorders
  • neck circumference >40 cm
  • sedating drugs
  • adenotonsillar hypertrophy
  • long soft palate and uvula
  • alcohol consumption
  • gastroesophageal reflux
  • active or passive smoking
  • abnormal epiglottis
  • hypopharyngeal cysts or tumors
  • nasal obstruction
  • asthma
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • clinical exam
  • snoring scale score
  • Epworth sleepiness score (ESS)
Полная информация

Исследования, проведение которых нужно рассмотреть

  • thyroid function tests (TFTs)
  • growth hormone level
  • skin-prick tests/serum allergen-specific IgE tests
  • nasal decongestant test
  • sleep study
  • acoustic analysis
  • pharyngeal manometry
  • flexible nasendoscopy
Полная информация

Неотложные исследования

  • head and neck 3-dimensional CT
  • head and neck MRI

Алгоритм лечения

ПРОДОЛЖЕНИЕ

adult: without upper airway resistance syndrome (UARS) or obstructive sleep apnea (OSA)

adult: with upper airway resistance syndrome (UARS) or obstructive sleep apnea (OSA)

child: without concurrent indication for tonsillectomy or adenoidectomy

child: with concurrent indication for tonsillectomy or adenoidectomy

child: with upper airway resistance syndrome (UARS) or obstructive sleep apnea (OSA)

Составители

Авторы

Showkat Mirza, BM, BS, BMedSci, FRCS(ORL-HNS)

Consultant in Otorhinolaryngology-Head & Neck Surgery

Sheffield Teaching Hospitals NHS Trust

Sheffield

UK

Раскрытие информации

SM declares that he has no competing interests.

Christine Fabri, MD (Melit), MRCS (Ed), DOHNS (Ed), MCh, FEB ORL-HNS

Rhinology Fellow

Sheffield Teaching Hospitals NHS Trust

Sheffield

UK

Раскрытие информации

CF declares that she has no competing interests.

Выражение благодарностей

Mr Showkat Mirza and Dr Christine Fabri would like to gratefully acknowledge Miss Nadia Ashraf, a previous contributor to this topic.

Раскрытие информации

NA declares that she has no competing interests.

Рецензенты

Jayant Pinto, MD

Assistant Professor of Surgery

Section of Otolaryngology-Head and Neck Surgery

University of Chicago

Chicago

IL

Раскрытие информации

JP declares that he has no competing interests.

Michael J. Hensley, MBBS, PhD, FRACP

Director

Department of Respiratory and Sleep Medicine

John Hunter Hospital

Professor and Head

School of Medicine and Public Health

Faculty of Health

The University of Newcastle

NSW

Australia

Раскрытие информации

MJH declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

American Academy of Sleep Medicine. The AASM international classification of sleep disorders - third edition, text revision (ICSD-3-TR). Jun 2023 [internet publication].Полный текст

Fairbanks DNF, Mickelson SA, Woodson BT, eds. Snoring and obstructive sleep apnea. 3rd ed. Philadelphia, PA: Lippincott, Williams & Wilkins; 2003.

Ramar K, Dort LC, Katz SG, et al. Clinical practice guideline for the treatment of obstructive sleep apnea and snoring with oral appliance therapy: an update for 2015. J Clin Sleep Med. 2015 Jul 15;11(7):773-827.Полный текст  Аннотация

Статьи, указанные как источники

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