慢性心力衰竭与阻塞性睡眠呼吸暂停中的生活质量:系统性审查
Francesco Limonti1, Giovanni Cangelosi2, Diaratou Dabre3
1Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Nursing open
|November 28, 2025
概括
阻塞性睡眠呼吸暂停严重影响慢性心力衰竭患者的生活质量. 持续的正气道压力显示好处,但自适应式伺服通风需要谨慎,突出需要个性化护理.
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 慢性心力衰竭 (CHF) 和阻塞性睡眠呼吸暂停 (OSA) 经常同时存在.
- 目前尚不完全了解OSA对CHF患者生活质量 (QoL) 的影响.
- 在CHF中,睡眠呼吸障碍 (SDB) 的有效管理策略至关重要.
研究的目的:
- 描述CHF和同时存在的OSA患者的QoL.
- 评估SDB治疗对CHF患者的QoL,功能能力和心脏结果的影响.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在主要数据库 (PubMed,CINAHL,Scopus,Web of Science) 进行全面的文献搜索,截至2024年3月.
- 使用乔安娜·布里格斯研究所批判性评估检查清单进行质量评估.
主要成果:
- 十四项研究 (2048名患者) 表明,SDB与CHF的降低QoL,身体能力和心脏功能有关.
- 持续的正气道压力 (CPAP) 改善了呼吸事件,睡眠质量,左心室功能和运动表现.
- 适应性伺服通风 (ASV) 降低了中心事件,但降低了喷射分数患者的死亡率增加;夜间氧气治疗对QoL的好处有限;运动计划改善了功能和QoL.
结论:
- 在CHF患者中,OSA会对QoL产生负面影响.
- 对于某些患有SDB的CHF患者来说,CPAP有益.
- 使用ASV需要谨慎;个性化管理方法对于优化结果至关重要.
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