BiPAP呼吸机对阻塞性呼吸睡眠暂停低通气综合征患者主观睡眠质量的效果分析  

Analysis of BiPAP ventilation therapy on subjective sleep quality of patients with obstructive sleep apnea-hypopnea syndrome

作　　者：高蕾[1] 王丽丽[2] 王岚[1] 

机构地区：[1]天津医科大学护理学院,天津300070 [2]天津医科大学总医院

出　　处：《天津护理》2015年第3期207-209,共3页Tianjin Journal of Nursing

摘　　要：目的:观察双水平持续正压通气(Bi PAP)对中、重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者主观睡眠质量的影响。方法:对60例已行多导睡眠监测(PSG)的中重度OSAHS患者在使用呼吸机前采用匹兹堡睡眠质量指数(PSQI)量表,了解他们的睡眠情况。治疗过程中试验组应用Bi PAP呼吸机,对照组给予常规日常生活护理1个月后评估睡眠情况并进行对比。结果:经Bi PAP呼吸机治疗1个月后,试验组OSAHS患者PSQI总分和因子分中的睡眠质量、睡眠障碍、日间功能障碍、睡眠效率因子分比应用前明显降低(P<0.05),睡眠时间、入睡时间和催眠药物因子分无明显变化(P>0.05)。常规护理1个月的对照组患者PSQI总分和其各部分因子较其前均无显著性变化(P>0.05)。结论:Bi PAP呼吸机能够改善OSAHS患者的主观睡眠质量,PSQI量表可作为基层医院评定OSAHS患者在家庭日常生活中睡眠质量的工具之一。Objective： To study the analysis of bi-level positive airway pressure （BiPAP） ventilation therapy on patients with OSAHS＇s subjective sleep quality. Methods： 60 patients with OSAHS were included in the study. The treatment group was treated by BiPAP respirator, while the control group with standard care for 1 month. All the patients were evaluated by Pittsburgh Sleep Quality Index （PSQI） before and after treatment. Results： There was a significantly difference PSQI score between before and after treatment in treatment group. The components of subjective quality, sleep disturbances, daytime disturbances and habitual sleep efficiency in the treatment group were significantly lower than 1 month ago （P〈0.05）. Sleep duration, sleep latency and use of sleep medication were no significant difference （P〉0.05）. Moreover, there were no significant difference in PSQI score and components scores of control group before and after treatmenL Conclusion： BiPAP respirator could enhance the subjective sleep quality of OSAHS patients. PSQI is a useful tool for primary hospitals to assess the sleep quality of the patients.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 睡眠质量 

分 类 号：R473.76[医药卫生—护理学]