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背部睡眠时间作为坚持正气道压力治疗的预测因素
Hyun-Ho Kwak1, Ji-Hwan Park1, Dong-Joo Lee1
1Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Pusan National University Hospital, Busan, South Korea.
Scientific reports
|December 16, 2023
概括
患者坚持对阻塞性睡眠呼吸暂停 (OSA) 的正气道压力 (PAP) 治疗至关重要. 仰卧睡眠,特别是超过41.45%的睡眠时间,可能预测OSA患者更好的PAP坚持.
科学领域:
- 睡眠医学 睡眠医学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 阳性气道压力 (PAP) 疗法在阻塞性睡眠呼吸暂停 (OSA) 中对上呼吸道崩有效.
- 患者的坚持是成功PAP治疗结果的关键决定因素.
- 了解影响坚持治疗的因素对于提高治疗疗效至关重要.
研究的目的:
- 确定影响OSA患者遵守PAP治疗的潜在因素.
- 调查聚睡眠学 (PSG) 参数与PAP坚持之间的关联.
- 为了确定特定的睡眠姿势是否预测了对PAP治疗的坚持.
主要方法:
- 从2018年12月到2021年7月,对158名OSA患者进行了回顾性分析,这些患者从2018年12月到2021年7月接受了PAP治疗.
- 在90天内,患者被分为坚持 (70%的夜晚≥4小时/夜) 和不坚持的组.
- 审查了人口统计,临床特征和PSG数据,重点关注睡眠位置.
主要成果:
- 观察到76.6% (121/158名患者) 的良好坚持率.
- 根据人口统计或临床特征,没有发现依从度的显著差异.
- 背上睡眠时间的百分比在坚持的群体中显著更高 (p=0.041),预测坚持的截止值为41.45% (OR=2.97).
结论:
- 背上睡眠时间的百分比是OSA患者良好遵守PAP治疗的潜在多睡眠预测指标.
- 这一发现表明,睡眠姿势可能在PAP治疗遵守性方面发挥作用.
- 需要进一步研究更大的样本大小来概括这些发现.
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