不同监测方法下压力滴定对阻塞性睡眠呼吸暂停低通气综合征患者经鼻持续正压通气治疗依从性的影响

发布时间：2018-03-05 01:05

本文选题：肺疾病　切入点：慢性阻塞性　出处：《中国全科医学》2014年06期 　论文类型：期刊论文

【摘要】：目的探讨整夜多导睡眠图(PSG)监测下进行自动压力滴定和整夜脉氧饱和度仪监测下进行自动压力滴定对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者使用经鼻持续正压通气(nCPAP)治疗依从性的影响。方法选择2010年1月—2012年6月在我院睡眠监测室明确诊断的中重度OSAHS〔睡眠呼吸暂停低通气指数(AHI)20次/h〕并愿意接受自动压力滴定治疗的患者66例,采用随机单盲法分为两组,A组31例选择在监测室PSG监测下进行自动压力滴定,B组35例选择在监测室或家中整夜脉氧饱和度仪进行自动压力滴定。监测两组压力滴定结果 (AHI、最低脉氧饱和度、滴定压力、面罩漏气量)及nCPAP治疗依从性(规律用机率、平均每天用机小时数、每月用机天数)。结果两组AHI、最低脉氧饱和度、滴定压力、面罩漏气量、规律用机率、平均每天用机小时数及每月用机天数比较,差异均无统计学意义(P0.05)。结论采用两种不同监测方法进行自动压力滴定,并不影响压力滴定的结果及患者nCPAP治疗的依从性,而整夜脉氧饱和度仪监测下进行自动压力滴定相比传统压力滴定方法成本低,更易于被患者接受,值得临床推广。
[Abstract]:Objective to investigate the polysomnography (PSG) automatic pressure titration and automatic pressure titration on obstructive sleep apnea hypopnea syndrome night pulse oxygen saturation monitoring monitoring (OSAHS) in patients with nasal continuous positive airway pressure (nCPAP) treatment compliance. Methods from January 2010 to June 2012 clear the diagnosis in our hospital room sleep monitoring OSAHS in severe sleep apnea hypopnea index (AHI) of 20 /h and to 66 patients received automatic pressure titration treatment, randomly divided into two groups, 31 cases in A group were selected automatic pressure titration in monitoring PSG monitoring room, B group of 35 cases selected in the monitoring room or home all night long pulse oxygen saturation instrument for automatic pressure titration. Monitor two group pressure titration results (AHI, the lowest pulse oxygen saturation, titration pressure, mask leakage) and nCPAP treatment compliance (Law By chance, the average daily number of hours per month with the machine, machine days). The results of two groups of AHI, the lowest pulse oxygen saturation, pressure titration, mask leakage, law of probability, the average daily number of hours per month and machine machine days, there were no significant differences (P0.05). Conclusion using two different monitoring method for automatic pressure titration, does not affect the compliance pressure titration results and the treatment of patients with nCPAP, and night pulse oxygen saturation monitoring auto pressure titration compared with the traditional pressure titration method has low cost, easy to accept by patients, worthy of promotion.

【作者单位】：江苏省无锡市人民医院呼吸科;南京医科大学第一附属医院呼吸科;
【分类号】：R563.8

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