提高呼吸道正压通气治疗OSAS依从性的几点策略  

How to improve the CPAP adherence in OSAS treatment

作　　者：钱炜[1,2] 赵琳[1,2] 马永明[1,2] 

机构地区：[1]江苏大学附属人民医院 [2]镇江市第一人民医院耳鼻咽喉科,江苏镇江212002

出　　处：《中国中西医结合耳鼻咽喉科杂志》2015年第3期174-177,185,共5页Chinese Journal of Otorhinolaryngology in Integrative Medicine

基　　金：江苏省"六大人才高峰"(2011-WS-021);江苏省卫生厅面上科研项目(H201353)

摘　　要：目的本文介绍提高呼吸道连续正压通气(CPAP)治疗阻塞性睡眠呼吸暂停综合征(OSAS)依从性的几点策略。方法对84例接受CPAP治疗患者(男74例,平均年龄43.3岁;女10例,平均年龄51.3岁)采取以下策略以提高CPAP治疗依从性:1)评估和改善患者鼻腔通气功能障碍;2)在患者使用CPAP 2周内,由医生和技术员共同对CPAP使用情况进行评估和干预指正;3)就经济能力、对疾病认知能力和家属支持能力等与患者及家属充分沟通,建立有效的社会支持模式。结果患者2周内依从性(CPAP超过4h/24h)为70.4%(59/84),经指导干预后依从性上升为90.4%(76/84)。结论评估和改善鼻腔通气功能障碍和早期指正CPAP治疗中的问题对提高CPAP依从性有重要意义。Objective The present study introduced strategies to improve the continuous positive airway pressure （CPAP） adherence in obstructive sleep apnea syndrome （OSAS）. Methods In 84 OSAS patients with CPAP treatment （male： 74, mean aged：43.3 years old; female： 10, mean aged 51.3 years old）, the following strategies were emphasized in addition to the treatment routines：1） Assessing and treating to the nasal airway dysfunctions with medication or surgically, 2） A team of physician and technician follow-up patient within two weeks of the initiation of CPAP treatment, and 3） The economic status, the recognizing capacity to the disorder and the family support were discussed with the patient to build up a better social supporting circumstance. Results The overall adherence rate was 70.4% at week two follow-up and increased to 90.4% after medical or surgical inference. Conclusion Pay attentions to the nasal airway dysfunction, early detect, and correction to the problems in CPAP treatment might play important roles to improve the CPAP adherence.

关 键 词：阻塞性睡眠呼吸暂停 呼吸道正压通气 依从性 

分 类 号：R766[医药卫生—耳鼻咽喉科]