用加湿器进行CPAP治疗对声质的影响是什么?
Bruna R Rocha1, Vanessa V Ribeiro2, Priscila F Tempaku3
1Department of Communication Disorders, Universidade Federal de São Paulo, São Paulo, Brazil; CEV, Centro de Estudos da Voz, São Paulo, Brazil.
Journal of voice : official journal of the Voice Foundation
|October 22, 2023
概括
使用加湿器的持续正气道压力 (CPAP) 并没有改善阻塞性睡眠呼吸暂停 (OSA) 患者的声音质量. 然而,这种OSA治疗对男性患者来说是安全的,并且不会对声音产生负面影响.
科学领域:
- 耳鼻喉科和睡眠医学
- 对语音质量的声学分析.
- 患者报告的睡眠障碍的结果
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 影响着数百万人,像CPAP这样的治疗方法旨在改善睡眠质量.
- CPAP对OSA患者的声质的影响,特别是加湿的影响,仍未得到充分研究.
- 语音质量可能受到各种因素的影响,包括气道状况和睡眠障碍.
研究的目的:
- 评估连续正气道压力 (CPAP) 治疗与加湿器对男性患者的声音质量的影响.
- 为了比较患者的主观感知和客观的临床评估语音质量在CPAP治疗前后.
- 测试CPAP与加湿治疗改善OSA患者的语音质量的假设.
主要方法:
- 一个随机的,模拟控制的,盲目的临床试验,涉及43名男性OSA患者.
- 参与者接受了带有加湿器的CPAP或Sham-CPAP治疗6个月.
- 在基线和随访时,使用患者问卷 (VHI-10,LPRSI,DRY),声学分析 (AVQI) 和听觉感知判断 (APJ) 来评估声质.
主要成果:
- 虽然CPAP组在6个月后的睡眠模式有所改善,但CPAP组和Sham-CPAP组之间在语音相关问卷,AVQI或APJ中没有发现统计学上显著的差异.
- 所有参与者在研究开始时都表现出一定程度的声音偏差.
- 在CPAP治疗后,没有观察到声质的统计学显著变化.
结论:
- 由患者和临床医生评估,CPAP治疗与加湿器相结合并没有显示出声音质量的显著改善.
- 治疗被发现是安全的,在男性OSA患者的语音质量上没有显著的不良影响.
- 可能需要进一步的研究来探索潜在的微妙效应或替代干预措施,以解决OSA的声音问题.
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