阻塞性睡眠呼吸暂停低通气综合征患者自动滴定与人工滴定的比较

发布时间：2018-06-16 18:12

本文选题：阻塞性睡眠呼吸暂停 + 人工滴定　；参考：《广东医学》2014年04期

【摘要】：目的比较阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者自动滴定与人工滴定所确定的治疗压力及其有效性指标的差异。方法收集40例经多导睡眠图确诊的OSAHS患者,序贯进行人工滴定及自动滴定,通过配对t检验比较人工滴定与自动压力滴定所确定的治疗压力及治疗效率的差异。结果自动滴定后呼吸紊乱指数、平均血氧饱和度与人工滴定比较差异无统计学意义(P0.05),但最低血氧饱和度较人工滴定提高2.65%,差异有统计学意义(P0.05)。自动滴定95%治疗压力比人工滴定最佳压力平均高1.87 cmH2O(P0.01);自动滴定平均压力与人工滴定最佳压力比较差异无统计学意义(P0.05)。结论自动滴定的平均压力较95%时间压力更接近人工滴定最佳压力,自动滴定的平均压力可以作为患者持续气道正压通气的治疗压力。
[Abstract]:Objective to compare the therapeutic pressure and efficacy of automatic titration and artificial titration in patients with obstructive sleep apnea hypopnea syndrome (OSAHS). Methods 40 patients with OSAHS diagnosed by polysomnography were titrated by manual titration and automatic titration. The difference of therapeutic pressure and therapeutic efficiency between artificial titration and automatic pressure titration was compared by paired t test. Results there was no significant difference in respiratory disturbance index, mean oxygen saturation and manual titration after automatic titration, but the lowest oxygen saturation was 2.65% higher than that of manual titration, and the difference was statistically significant. The average therapeutic pressure of 95% autotitration was 1.87 cm H _ 2O _ 2O P _ (0.01) higher than that of manual titration, and there was no significant difference between automatic titration average pressure and manual titration optimum pressure. Conclusion the average pressure of automatic titration is closer to the optimal pressure of manual titration than that of 95% time. The average pressure of automatic titration can be used as the therapeutic pressure of continuous positive airway pressure ventilation.
【作者单位】：南方医科大学南方医院睡眠医学中心;
【基金】：“十二五”国家科技支撑计划(编号:2012BAI05B03) 广东省科技计划项目(编号:2011B090400378)
【分类号】：R766

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