阻断性睡眠呼吸暂停综合征患者的治疗坚持:一个回顾性队列研究
Carmen Samà1, Sandro Longu2, Giorgio Bergesio3
1RN, Cardinal Massaia Hospital, Corso Dante Alighieri 202, Asti, 14100, Italy. carmensama99@libero.it.
Sleep & breathing = Schlaf & Atmung
|August 28, 2024
概括
持续正气道压力 (CPAP) 疗法在阻塞性睡眠呼吸暂停综合征 (OSAS) 患者中显示出高坚持率. 吸烟是唯一与坚持相关的积极因素,突出了对支持性护理网络的需求.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 睡眠医学 睡眠医学
- 临床研究 临床研究
背景情况:
- 阻塞性睡眠呼吸暂停综合征 (OSAS) 是一种常见的呼吸系统疾病.
- 持续正气道压力 (CPAP) 是OSAS的主要治疗方法.
- 治疗坚持对于有效的OSAS长期管理至关重要.
研究的目的:
- 为了评估OSAS患者队列中的治疗坚持.
- 为了确定影响OSAS患者CPAP坚持的因素.
主要方法:
- 从2019年1月到2021年12月,对221名OSAS患者的回顾性分析.
- 坚持性定义为CPAP在设备定位 (T1),第二次定位 (T2) 和一年控制 (T3) 时每晚使用≥4小时.
- 相关性分析包括年龄,性别,OSAS严重程度,吸烟状态,使用的接口和爱普沃思睡眠度量 (ESS) 评分.
主要成果:
- 最初的坚持 (T1) 为84%,在一年的随访 (T3) 时的坚持为86%.
- 只有9%的患者需要第二次定位 (T2),保持了84%的坚持.
- 吸烟与坚持有正相关性;OSAS严重程度,性别,ESS得分,接口和年龄没有显著的相关性.
结论:
- 在OSAS患者中,高CPAP坚持率是可以实现和可持续的.
- 戒烟支持可以提高CPAP的坚持.
- 涉及医疗保健提供者和家庭的综合护理网络对于管理这种慢性疾病至关重要.
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