经鼻持续气道正压通气治疗睡眠呼吸暂停综合征的依从性及其影响因素  

The compliance and influencing factors of nasal continuous positive airway pressure ventilation in the treatment of obstructive sleep apnea hypopnea syndrome

作　　者：刘传文[1] 于法明[1] 姜东亮[1] 赵云[1] 杨国青[1] 

机构地区：[1]河南省濮阳市油田总医院呼吸科,457001

出　　处：《中国实用医刊》2016年第9期68-69,共2页Chinese Journal of Practical Medicine

摘　　要：目的探讨经鼻持续气道正压通气（nCPAP）治疗睡眠呼吸暂停综合征（SAS）的依从性及其影响因素。方法对108例SAS经nCPAP治疗患者通过问卷调查的方式进行随访，并分析其治疗依从性和相关影响因素。结果108例SAS患者中61例（56．48％）使用nCPAP治疗依从性良好，AHI、治疗前夜间LSaO2、治疗前后ESS和CPAP呼吸机的性能等影响因素与治疗依从性具有较好的相关性。结论SAS患者坚持使用nCPAP治疗依从性较差，仅56．48％患者能坚持长期使用，影响nCPAP依从性的主要因素包括治疗前夜间最低血氧饱和度、治疗前AHI、治疗前后患者ESS和CPAP呼吸机的性能。Objective To investigate the effect of nasal continuous positive airway pressure （nCPAP） on sleep ap- nea syndrome（SAS） and its influencing factors of compliance. Methods One hundred and eight cases of SAS patients were treated by nCPAP through the way of questionnaire survey, and the analysis of treatment compliance and its influencing factors. Results Among the 108 SAS patients, 61 patients（56.48% ） were with good compliance with nCPAP, AHI, LSaO2 before treatment, treatment effect of night performance before and after ESS and CPAP ventilator factors and treatment compliance with good correlation. Conclusions The compliance on the use of nCPAP in SAS patients treatment compliance is poor, only 56.48% patients were able to adhere to the long-term use; the main factors affecting the nCPAP compliance including the lowest nocturnal oxygen saturation before treatment, before treatment, AHI, ESS and CPAP in patients with ventilator performance before and after the treatment.

关 键 词：经鼻持续气道正压通气 治疗依从性 睡眠呼吸暂停综合征 

分 类 号：R766.43[医药卫生—耳鼻咽喉科]