OSAHS患者经鼻持续气道正压通气治疗依从性调查  

Treatment adherence of nasal continuous positive airway pressure in patients with obstructive sleep apnea syndrome

作　　者：董纪军[1] 李树华[2] 吴大海[2] 黑任轶[2] 秦洁[2] 

机构地区：[1]沈阳军区总医院口腔科,辽宁沈阳110016 [2]沈阳军区总医院耳鼻喉科,辽宁沈阳110016

出　　处：《创伤与急危重病医学》2016年第2期80-82,86,共4页Trauma and Critical Care Medicine

基　　金：辽宁省科技攻关课题(2015020441)

摘　　要：目的调查阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者接受经鼻持续气道正压通气(nCPAP)治疗的依从性。方法对使用nCPAP的168例OSAHS患者进行电话随访调查,并对其依从性进行分析。结果本组共168例患者,其中,75例(44.6%)患者依从性良好。依从性好者在嗜睡量表评分、呼吸暂停低通气指数、睡眠时最低血氧饱和度及主观临床症状方面,均优于依从性差者,两组间比较,差异均有统计学意义(P<0.01)。结论应加强nCPAP治疗的健康教育和指导,提高患者对nCPAP治疗的适应程度,提高nCPAP治疗依从性。Objective To explore the adherence of nasal continuous positive airway pressure for the treatment of obstructive sleep apnea syndrome（ OSAHS）. Methods The investigation was sent to the 168 patients with OSAHS who accepted n CPAP therapy. The factor influencing compliance were analyzed. Results The adherence rate of n CPAP was 44. 6%（ 75 /168）. The Epworth sleep scale scores,apnea hypopnea index values,the lowest oxygen saturation during sleep,and subjective assessment for clinical outcome all improved more obviously in adherence patients,when compared to in-adherence cases（ P〈0. 01）. Conclusion Targeted health education should be offered for different patients to enhance their quality of life.

关 键 词：依从性 经鼻持续气道正压通气 睡眠呼吸暂停综合征 

分 类 号：R563[医药卫生—呼吸系统]