在面具选择中使用NOSE问卷对家庭CPAP定位的表现
Magalí Blanco1, Glenda Ernst1, Alberto Rabino2
1Sleep and Ventilation Unit, Hospital Britanico, Buenos Aires, Buenos Aires City, Argentina.
Sleep science (Sao Paulo, Brazil)
|January 10, 2024
概括
鼻腔阻塞症状评估 (NOSE) 尺度没有预测CPAP定位的阻塞性睡眠呼吸暂停 (OSA) 患者的口罩选择. 较高的NOSE分数与口罩选择没有相关性,也没有影响CPAP治疗结果.
科学领域:
- 睡眠医学 睡眠医学
- 呼吸系统医学 呼吸系统医学
- 医疗器械技术 医疗器械技术
背景情况:
- 持续正气道压力 (CPAP) 疗法是阻塞性睡眠呼吸暂停 (OSA) 的首要治疗方法.
- 患者对CPAP的坚持往往受到面具不适的限制,导致患者放弃治疗.
- 气道评估工具可以帮助预测治疗成功并改善面具选择.
研究的目的:
- 评估鼻腔阻塞症状评估 (NOSE) 尺度在接受家庭CPAP定位的OSA患者中预测鼻腔通风衰竭的能力.
- 为了确定NOSE分数是否与所选择的CPAP口罩类型相关.
- 评估NOSE分数和CPAP定位绩效指标之间的关系.
主要方法:
- 一项前性相关性研究,涉及303名患有OSA的患者,他们正在接受家庭自动调整CPAP定位.
- 鼻腔阻塞症状评估 (NOSE) 尺度用于评估鼻腔阻塞症状.
- 根据NOSE得分分类的患者 (例如,>50与<50).
- 对NOSE分数与口罩选择,服从性,治疗压力,残留呼吸暂停-呼吸暂停指数 (AHI) 和口罩泄漏之间的相关性分析.
主要成果:
- 平均NOSE得分为24.3±22.8;13.8%的患者得分超过50.
- 在NOSE分数>50和<50的组之间,在遵守,治疗压力,残留AHI或口罩泄漏方面没有发现显著差异.
- 调整后的多重回归分析表明,NOSE分数>50不是面具选择的预测因素.
结论:
- 在这个患者队列中,NOSE分数大于50并不是CPAP口罩选择的预测因素.
- 该NOSE尺度没有证明与关键CPAP定位性能指标的相关性,包括合规性和有效性.
- 可能需要进一步的研究来确定可靠的预测因素,以优化CPAP口罩选择和改善患者的坚持.
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