持续正压通气与自动调压治疗对重症阻塞性睡眠呼吸暂停综合征睡眠的影响  

The Impact of Continuous Positive Airway Pressure and Automatic Positive Airway Pressure Therapy on the Sleep of Patients with Severe Obstructive Sleep Apnea Syndrome

作　　者：谢珊凤 林艺坚 林小花 XIE Shanfeng;LIN Yijian;LIN Xiaohua(Department of Respiratory and Critical Care,Quanzhou First Hospital,Quanzhou 362000,China;Department of Encephalopathy,Xiamen Hospital of Traditional Chinese Medicine,Xiamen 361000,China)

机构地区：[1]泉州市第一医院呼吸与危重症学科,泉州362000 [2]厦门中医院脑病科,厦门361000

出　　处：《世界睡眠医学杂志》2024年第8期1891-1894,共4页World Journal of Sleep Medicine

摘　　要：目的:探究持续正压通气与自动调压治疗对重症阻塞性睡眠呼吸暂停综合征睡眠的影响。方法:选取2023年2月至2024年1月泉州市第一医院收治的重症阻塞性睡眠呼吸暂停综合征患者124例作为研究对象,按照随机数字表法分为对照组和观察组,每组62例。对照组采取自动调压治疗,观察组应用持续正压通气治疗。对比2组患者蒙特利尔认知评估量表(Montreal Cognitive Assessment,MoCA)评分、PSQI评分、PSG表现。结果:治疗后,2组患者的MoCA量表评分均有所上升,且观察组高于对照组,差异有统计学意义(P<0.05);对照组患者的PSQI评分高于观察组,差异有统计学意义(P<0.05);观察组患者PSG指标变化均优于对照组,差异有统计学意义(P<0.05)。结论:持续正压通气治疗重症阻塞性睡眠呼吸暂停综合征患者效果显示,可改善患者的认知功能和睡眠质量,改善患者睡眠效率,利于预后,值得推广采纳。Objective:To explore the effects of continuous positive pressure ventilation and automatic pressure regulation therapy on sleep in severe obstructive sleep apnea syndrome.Methods:From February 2023 to January 2024,124 patients with severe obstructive sleep apnea syndrome had been treated as research subjects admitted to Quanzhou First Hospital.62 cases in each of the two groups were treated according to the random number table method.The control group received automatic pressure regulation therapy,and the observation group had applied continuous positive pressure ventilation and automatic pressure regulation.The Montreal Cognitive Assessment(MoCA)score,PSQI score and PSG performance were compared between the two groups.Results:After treatment,the MoCA scale score of 2 groups increased,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).The PSQI score of control group was higher than that of observation group,the difference was statistically significant(P<0.05).The changes of PSG indexes in observation group were better than those in control group,with statistical significance(P<0.05).Conclusion:Continuous positive pressure ventilation for patients with severe obstructive sleep apnea syndrome can improve their cognitive function and sleep quality,reduce the incidence rate of complications,improve the sleep efficiency of patients,and be conducive to the prognosis,which is worth popularizing and adopting.

关 键 词：持续正压通气 自动调压 阻塞性睡眠呼吸暂停综合征 睡眠质量 蒙特利尔认知评估量表 匹兹堡睡眠指数 多导睡眠图 并发症 

分 类 号：R338.63[医药卫生—人体生理学] R56[医药卫生—基础医学]