通过使用智能手表应用程序进行睡眠定位治疗,改善夜间胃食道反流症状
Elise M Wessels1,2, Gwen M C Masclee1,2, Albert J Bredenoord1,2
1Department of Gastroenterology & Hepatology, Amsterdam Gastroenterology and Metabolism, University Medical Centers Amsterdam, Amsterdam, The Netherlands.
智能手表引导的睡眠定位治疗显著减少了夜间胃食道逆流症状. 这种方法训练患者避免在右侧睡觉,从而减少反流发作和改善睡眠质量.
科学领域:
- 胃肠病学 胃肠病学
- 睡眠医学 睡眠医学
- 数字健康数字健康
背景情况:
- 夜间胃食道逆流症状会对睡眠质量和日常功能产生负面影响.
- 睡在右侧腰位置与反流事件的增加有关.
研究的目的:
- 评估基于智能手表应用程序的睡眠定位治疗在减少夜间胃食道逆流症状方面的有效性.
- 为了确定定位治疗是否可以训练患者避免右侧床睡姿.
主要方法:
- 使用智能手表应用程序进行为期两周的治疗,当患者睡在右侧位时,智能手表应用程序会振动.
- 使用夜间胃食道逆流病症状严重程度和影响问卷 (N-GSSIQ) 测量胃食道逆流症状在治疗开始时,治疗期间和治疗后.
- 对睡眠位置的客观监测 (右侧与左侧侧).
主要成果:
- 显著降低N-GSSIQ得分,表明夜间胃食道逆流症状较少 (39.3至24.1;P=0.003).
- 减少了在右侧腰位置的时间 (31.8%至8.1%;P=0.002) 和增加了在左侧腰位置的时间 (39.9%至61.3%;P=0.002).
- 患者报告说,没有反流的夜晚显著增加,睡眠质量差的夜晚减少.
结论:
- 智能手表引导的睡眠定位疗法在缓解夜间胃食道逆流症状方面是有效的.
- 这种疗法成功地训练了患者,避免在右侧腰位置睡觉.
- 这种干预措施改善了整体的睡眠质量,并减少了反流负担.
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