胃肠道症状和CPAP相关的气 一个调查问卷研究
Anne Hillamaa1, Timo Mustonen2, Adel Bachour3
1Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland. anne.hillamaa@hus.fi.
气症状,如浮气和口腔干燥,在CPAP治疗时略有增加,但往往是先前存在的. 在罕见的情况下,这些症状可能导致放弃CPAP治疗.
科学领域:
- 胃肠病学 胃肠病学
- 睡眠医学 睡眠医学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 气是一种功能性胃肠道疾病,其特点是空气吞,吐和腹部空气保留.
- 由于压力空气进入胃,CPAP疗法可能会加剧气,导致吐和膨胀等症状.
- 据报道,与CPAP相关的气 (C-气) 的患病率在8.28%至16%之间,目前研究有限.
研究的目的:
- 在CPAP治疗前和期间评估患者的气相关症状.
- 了解CPAP对吐,膨胀,口腔干燥和胃烧等症状的影响.
主要方法:
- 一份问卷被发送给1059名随机选择的患者,他们在赫尔辛基睡眠呼吸暂停诊所接受CPAP治疗 (2015-2019).
- 用视觉模拟尺度 (VAS) 评估症状的严重程度.
- 在研究期间,2004名患者开始CPAP治疗.
主要成果:
- 在324名受访者中,空气膨胀 (VAS 24~34) 和口腔干燥 (VAS 16~31) 在CPAP (p≤0.001) 时显著增加.
- 在CPAP治疗期间,胃烧和吐症状减少 (分别p≤0.001和p=0.018).
- 气症状是3名患者放弃CPAP治疗的主要原因.
结论:
- 大多数患有CPAP气症状的患者在治疗前已经有症状.
- CPAP治疗只导致气胀和口腔干燥的轻微增加.
- 虽然通常是轻微的,但在罕见的情况下 (1%),气症状可能会严重,可能导致CPAP停用,需要仔细评估以避免不必要的干预.
更多相关视频
07:54Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
05:50Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
Published on: September 22, 2023
相关概念视频
Gastroesophageal Reflux Disease II: Clinical Features and Management
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Assessment of Airway, Skin Color, and Use of Accessory Muscles
Introduction
The initial evaluation of a patient's respiratory system...
Assessment of the Gastrointestinal System I: Subjective Data
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Assessment of the Gastrointestinal System II: Health Perception Pattern
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Asthma-III: Symptoms and Complications
Classification of Asthma
Acute Respiratory Failure-IV
