在COVID-19封锁之前,期间和之后,跟踪阻塞性睡眠呼吸暂停患者的持续正气道压力坚持
Abdulaziz O BaHammam1,2, Fawaz Alhuqayl1,2, Ibrahim Alzaid1,2
1Department of Medicine, The University Sleep Disorders Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Annals of thoracic medicine
|February 10, 2025
概括
由于COVID-19的封锁,沙特阻塞性睡眠呼吸暂停 (OSA) 患者的持续正气道压力 (CPAP) 治疗遵守率下降,其影响在封锁后仍然存在. 需要进行干预,以支持在流行病期间使用CPAP.
科学领域:
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种常见的疾病,需要持续的正气道压力 (CPAP) 治疗.
- 随着COVID-19大流行和相关的封锁,患者对医疗治疗的坚持提出了前所未有的挑战.
研究的目的:
- 为了评估COVID-19封锁对沙特OSA患者CPAP遵守的影响.
- 调查人口因素和并发症对CPAP在封锁期间的遵守的影响.
主要方法:
- 一项前性队列研究,涉及67名使用CPAP的OSA患者.
- 在封锁前,封锁后和封锁后的时间间隔中,使用客观的口罩时间数据监测CPAP的遵守情况.
- 数据分析的重点是CPAP使用日数的变化以及患者特征的影响.
主要成果:
- 在封锁期间观察到每日CPAP使用量的显著减少,持续到封锁后的时期.
- 大约50%的患者在所有研究阶段都保持了CPAP的坚持.
- 年龄 (50岁以下和65岁以上) 与CPAP使用率的较大下降有关;并发症和BMI没有显著影响遵守.
结论:
- COVID-19封锁对OSA患者的CPAP坚持产生了不利影响,封锁后持续减少.
- 在流行病等公共卫生危机期间,急需制定策略来维持CPAP治疗的坚持.
- 需要进一步的研究来探索大流行病对CPAP治疗坚持的长期影响.
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