不同方式的CPAP压力滴定在OSAHS治疗中的作用

发布时间：2018-04-10 22:38

本文选题：连续气道正压通气 + 睡眠呼吸暂停低通气综合征　；参考：《临床耳鼻咽喉头颈外科杂志》2014年01期

【摘要】：目的:探讨不同方式的压力滴定在OSAHS治疗中的作用及意义。方法:90例重度OSAHS行压力滴定的患者,按滴定方法不同分3组,每组30例。A组为先行整夜PSG检查,另行整夜压力滴定;B组为诊断性睡眠监测后分夜压力滴定,C组为整夜PSG监测后行午间小睡压力滴定;分析比较3种方法的效果。结果:压力滴定前后,3组患者的睡眠呼吸暂停低通气指数、睡眠呼吸暂停指数、LSaO2、微觉醒指数、氧减指数相比均差异无统计学意义(均P0.05)。每组患者滴定前后的睡眠呼吸暂停低通气指数、LSaO2、微觉醒指数差异有统计学意义(P0.05)。3组患者压力滴定的95%可信限压力相比差异有统计学意义(P0.05),但3组患者对CPAP治疗的接受率无差别(P0.05)。结论:3种压力滴定方法各有优劣,应根据患者的情况选择合适的滴定方法,提高CPAP治疗的依从性。
[Abstract]:Objective: to explore the role and significance of different pressure titration in OSAHS.Methods 90 patients with severe OSAHS who underwent pressure titration were divided into 3 groups according to titration method. 30 cases in each group were examined with PSG all night first.Another overnight pressure titration group B was divided into two groups: night pressure titration after diagnostic sleep monitoring and group C was treated with midday nap pressure titration after overnight PSG monitoring, and the results of three methods were analyzed and compared.Results: there was no significant difference in sleep apnea hypopnea index, sleep apnea index (LSAO _ 2), microarousal index and oxygen reduction index between the three groups before and after pressure titration (all P 0.05).Conclusion the three kinds of pressure titration methods have their own merits and demerits. The suitable titration method should be selected according to the patient's condition to improve the compliance of CPAP treatment.
【作者单位】：河北医科大学第二医院耳鼻咽喉头颈外科;淮南东方医院集团总院耳鼻咽喉头颈外科;
【分类号】：R766.1

【参考文献】