不同压力滴定技术对重度睡眠呼吸暂停患者自我管理水平的影响

发布时间：2018-08-09 20:19

【摘要】：目的探讨不同压力滴定技术对重度睡眠呼吸暂停患者自我管理水平的影响。方法 78例重度阻塞性睡眠呼吸暂停低通气综合征患者,随机分为观察组和对照组各39例,观察组无创通气治疗使用手工压力滴定技术,对照组使用自动压力滴定技术。治疗前及治疗后6个月进行自我管理行为问卷和Calgary生活质量指数量表(sleep apnea quality of life index,SAQLI)评分,并进行2组间比较。结果观察组和对照组治疗前自我管理行为问卷评分[(70.55±8.59)、(69.47±9.87)分]和SAQLI评分[(3.80±0.19)、(3.80±0.24)分]比较差异无统计学意义(P0.05);治疗6个月后,观察组自我管理行为问卷评分、SAQLI评分分别为76.90±6.50、4.83±0.18,对照组分别为70.55±8.59、4.22±0.26,均较治疗前提高(P0.05),且观察组高于对照组(P0.01)。结论无创通气治疗前采用手工压力滴定技术,可提高重度阻塞性睡眠呼吸暂停患者自我管理水平。
[Abstract]:Objective to investigate the effect of different pressure titration techniques on self-management in patients with severe sleep apnea. Methods Seventy-eight patients with severe obstructive sleep apnea hypopnea syndrome were randomly divided into the observation group (n = 39) and the control group (n = 39). Self-management behavior questionnaire and Calgary quality of life index scale (sleep apnea quality of life indexsSAQLI) were assessed before and 6 months after treatment, and compared between the two groups. Results the scores of self-management behavior questionnaire [(70.55 卤8.59), (69.47 卤9.87)] and SAQLI score [(3.80 卤0.19), (3.80 卤0.24)] in the observation group and the control group before treatment had no significant difference (P0.05). The SAQLI scores of self-management behavior questionnaire were 76.90 卤6.50 卤4.83 卤0.18 in the observation group and 70.55 卤8.59 卤4.22 卤0.26 in the control group, which were higher than those before treatment (P0.05), and higher in the observation group than in the control group (P0.01). Conclusion using manual pressure titration before non-invasive ventilation can improve self-management of patients with severe obstructive sleep apnea.
【作者单位】：郑州大学人民医院河南省人民医院护理部;河南省人民医院河南省睡眠呼吸障碍诊疗中心;
【分类号】：R766

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