影响阻塞性睡眠呼吸暂停的老年人持续正气道压力坚持的因素
Nantaporn Tiyapun1,2, Kanokkarn Sunkonkit2,3, Warawut Chaiwong4
1Division of Neurology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Journal of thoracic disease
|July 10, 2023
概括
阻塞性睡眠呼吸暂停 (OSA) 的老年患者的持续正气道压力 (CPAP) 坚持受个人问题和对治疗的负面态度的影响. 女性OSA患者的CPAP坚持率也较低.
科学领域:
- 睡眠医学 睡眠医学
- 老年病的医生 老年病的医生
- 呼吸系统医学 呼吸系统医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 显著影响老年人.
- 持续正气道压力 (CPAP) 是症状性OSA的主要治疗方法.
- 了解老年人对CPAP的坚持对于有效管理至关重要.
研究的目的:
- 为了调查影响老年OSA患者CPAP坚持的因素.
- 在这个人口群体中确定CPAP接受和坚持的预测因素.
- 为老年OSA患者提供个性化治疗策略的信息.
主要方法:
- 对OSA患者医疗记录 (2018-2020) 的回顾性观察性研究.
- 来自泰国睡眠障碍中心的数据分析.
- 多变量风险回归以确定与CPAP不接受和不遵守相关的因素.
主要成果:
- 老年患者 (31.4%) 占研究队列的很大一部分.
- 对CPAP使用的不良态度与不坚持有很强的联系 (RR=4.59).
- 女性性别也与较低的CPAP坚持相关 (RR=3.10).
结论:
- 老年OSA患者的CPAP坚持受到个人生活问题,态度和健康问题的影响.
- 女性性别是较低CPAP坚持的预测因素.
- 建议对老年OSA患者进行个性化CPAP治疗计划和定期监测.
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