發(fā)布時間：2018-08-03 16:56

【摘要】：目的調(diào)查睡眠實驗室阻塞性睡眠呼吸暫停低通氣綜合征(OSAHS)患者首次經(jīng)鼻持續(xù)氣道正壓(nCPAP)治療主觀接受性及其影響因素。方法選擇廣西區(qū)人民醫(yī)院廣西睡眠呼吸疾病中心經(jīng)多導(dǎo)睡眠監(jiān)測儀(PSG)檢查確診OSAHS患者,符合無創(chuàng)氣道正壓通氣治療適應(yīng)證者86例,在睡眠實驗室進行首次nCPAP治療后,給予接受性問卷的調(diào)查并分析其影響因素。結(jié)果 63例患者接受性良好,19例接受性一般,4例接受性差。影響患者接受性的因素主要是治療時的睡眠狀態(tài)、治療后精神狀態(tài)的改善,夜尿減少;而性別、年齡、治療前后呼吸暫停低通氣指數(shù)(AHI)、最低血氧飽和度(SaO_2)、SaO_2低于90%、80%的低氧時間、nCPAP壓力水平、治療前嗜睡評分無明顯關(guān)系。結(jié)論重視OSAHS患者首次治療的主觀感受,有助于提高其接受性和順應(yīng)性。
[Abstract]:Objective to investigate the subjective acceptability of (OSAHS) patients with sleep laboratory obstructive sleep apnea hypopnea syndrome (OSAHS) treated with (nCPAP) for the first time. Methods 86 patients with OSAHS diagnosed by polysomnography (PSG) in Guangxi Sleep Respiratory Disease Center of Guangxi people's Hospital of Guangxi were selected. 86 cases were treated with non-invasive positive airway pressure ventilation. After the first nCPAP treatment in sleep laboratory, the patients were treated with nCPAP. To investigate the receptive questionnaire and analyze its influencing factors. Results 63 patients had good receptivity and 19 patients had poor receptivity. The main factors affecting the acceptability of patients were sleep state after treatment, improvement of mental state after treatment, decrease of nocturnal urine, and sex, age, Before and after treatment, the apnea hypopnea index (AHI),) minimum oxygen saturation (SaO_2) was less than 90% of hypoxic time and the pressure level of nCPAP was less than 90%. There was no significant relationship between the sleepiness score before treatment and the apnea hypopnea index (AHI),). Conclusion paying attention to the subjective feeling of the first treatment in OSAHS patients is helpful to improve their acceptability and compliance.
【作者單位】： 欽州市第二人民醫(yī)院呼吸科;廣西區(qū)人民醫(yī)院睡眠呼吸疾病中心;
【基金】：廣西自然科學(xué)基金(2014GXNFAA118261;桂科自0991211)
【分類號】：R766

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