2025 年 12 月 01 日 
你是否有打呼困擾，甚至睡覺時會突然暫停呼吸？這是睡眠呼吸中止症的明顯警訊。據統計，台灣約有70萬人受此症困擾，而「肥胖」正是最主要的危險因子之一，對於肥胖引起的睡眠呼吸中止症患者而言，「減重」是最有效的方法之一，臨床證實，只要體重下降，就能顯著改善症狀。近期，俗稱新一代瘦瘦針的新型減重藥物，為減重帶來新選擇，重拾健康睡眠。
肥胖是萬病之源、睡眠呼吸中止症的「推手」
萬芳醫院耳鼻喉科主任陳伯岳醫師指出，臨床顯示、約有5成以上睡眠呼吸中止症患者同時有肥胖問題。體重每增加10%，罹患中重度睡眠呼吸中止症的風險會增加6倍。當體重過重、多餘的脂肪會堆積在頸部和上呼吸道，會導致呼吸通道變得狹窄。當患者進入睡眠狀態時，全身肌肉包含呼吸道周圍的肌肉會自然放鬆，這些肥厚的軟組織便更容易塌陷，造成氣道阻塞，導致空氣無法順利進入肺部，進而發生「呼吸中止」。
睡眠呼吸中止症與10大死因高度相關，與肥胖互相影響
陳醫師表示：「睡眠和代謝問題息息相關、互相影響，睡不好影響代謝、體重增加，體重過重又造成呼吸道塌陷更睡不好。睡眠呼吸中止症不只是打呼及睡不好的問題，患者在睡眠中反覆經歷缺氧和睡眠片段化，不僅會影響白天精神和記憶力，更與心臟病、腦血管疾病、糖尿病、高血壓等台灣十大死因高度相關。」
過重且共病心律不整，瘦瘦針助攻體重控制
陳醫師分享臨床上有肥胖、且睡眠呼吸中止症共病心律不整的患者，在施打瘦瘦針、同步配戴正壓呼吸器後，不僅成功減重、睡眠呼吸中止症和心律不整的病況皆有明顯改善。陳醫師說明：「透過瘦瘦針減重藥物能幫助患者較快速的達到體重顯著下降效果。當體重減輕，呼吸道的脂肪堆積也會隨之減少，呼吸中止和其它共病的嚴重程度也隨之降低。」
體重管理：飲食運動缺一不可、輔以藥物，建立良好生活型態是關鍵
新一代瘦瘦針能延緩胃排空、抑制食慾並強化脂肪代謝，近期協助許多有肥胖問題的人成功快速減重，引起熱議。濰視美學家醫科李蕎菀醫師提醒，瘦瘦針屬於自費的醫療處方藥，體重過重、BMI超標的患者務必經由醫師診治、抽血進行身體評估，並根據醫師規劃劑量漸進，才能安全達到減重效果。
李醫師表示，藥物僅是減重的助力，並非長久解方，建立正確的飲食觀念和運動習慣，改變生活型態，才能長久維持理想體重。
正壓呼吸器與減重並進，體重降低10%，呼吸中止次數可減少2至3成
科林睡得美睡眠技師陳奕潔分享，研究顯示，睡眠呼吸中止症患者體重若降低10%，呼吸中止次數即可減少2至3成。因此減重對睡眠呼吸中止症的改善具有明顯效益，睡眠呼吸中止並非完全不可逆，及早面對病症、配合醫師建議積極治療，減重之外，以開放心態，多嘗試選擇不同的「正壓呼吸器與面罩」，提升舒適度之餘，更能讓生活品質更好，並延緩併發相關病症的風險。
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