睡眠呼吸监测管理云平台在OSAHS治疗中的作用

发布时间：2018-07-11 12:34

本文选题：睡眠呼吸暂停低通气综合征 + 阻塞性　；参考：《临床耳鼻咽喉头颈外科杂志》2017年21期

【摘要】：目的:通过与传统呼吸机读卡模式管理对比,探讨睡眠呼吸监测智能化管理云平台对OSAHS患者治疗管理的临床意义及价值。方法:采用前瞻性研究方法对2015-11-2016-08期间在红河州第三人民医院耳鼻咽喉头颈外科-睡眠医学中心进行就诊,行PSG监测确诊的48例进行经鼻持续气道正压通气(N-CPAP)治疗的重度OSAHS成年患者,随机分为A、B组,每组24例。A组采用传统呼吸机读卡模式进行指导治疗,B组采用睡眠呼吸监测管理云平台进行指导治疗,进行为期1年的随访,统计2组患者治疗1、3、6、12个月后的依从性、平均血氧饱和度、呼吸机治疗滴定压力、Epworth嗜睡量表的差异。结果:经统计分析,患者在CPAP 2种模式下进行治疗,在治疗依从性每月戴呼吸机治疗时间、治疗夜间平均血氧指标、治疗后Epworth嗜睡量表评分3个方面差异有统计学意义(均P0.05),而在呼吸机治疗滴定压力方面,差异无统计学意义。结论:运用睡眠呼吸监测管理云平台对OSAHS患者治疗进行管理,较传统读卡模式更能及时解决患者呼吸机使用过程中出现的问题,提高患者戴机依从性,从而提高疗效,具有更好的临床价值,值得推广。
[Abstract]:Objective: to explore the clinical significance and value of intelligent management cloud platform for sleep breathing monitoring in OSAHS patients by comparing with the traditional ventilator read card management model. Methods: a prospective study was conducted in the Department of Otolaryngology, head and neck Otolaryngology and Sleep Medicine Center of the third people's Hospital of Honghe City from May to August 2016-08. Forty-eight adult patients with severe OSAHS treated by nasal continuous positive airway pressure (N-CPAP) were randomly divided into two groups. 24 cases in each group were treated by traditional ventilator card reading mode. Group B was treated with sleep breathing monitoring management cloud platform, followed up for one year. The compliance of the two groups was counted after 12 months of treatment. Difference of mean oxygen saturation and ventilator in titration pressure and Epworth somnolence scale. Results: according to the statistical analysis, the patients were treated with CPAP under two different modes, and the mean blood oxygen index was treated at night during the treatment of compliance with ventilator every month. After treatment there were significant differences in three aspects of Epworth somnolence scale scores (P0.05) but there was no significant difference in the titration pressure of ventilator treatment. Conclusion: using sleep breathing monitoring management cloud platform to manage the treatment of OSAHS patients, compared with the traditional card reading mode, it can solve the problems in the process of ventilator use in time, improve the compliance of patients, and improve the curative effect. It has better clinical value and is worth popularizing.
【作者单位】：南方医科大学附属海军总医院全军耳鼻咽喉头颈外科中心;红河州第三人民医院耳鼻咽喉头颈外科;
【分类号】：R766

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