中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
24期
17-18
,共2页
自动调节持续气道正压通气%老年阻塞睡眠呼吸暂停低通气综合征%临床疗效
自動調節持續氣道正壓通氣%老年阻塞睡眠呼吸暫停低通氣綜閤徵%臨床療效
자동조절지속기도정압통기%노년조새수면호흡잠정저통기종합정%림상료효
Automatic continuous positive airway pressure%Senile obstructive sleep apnea hyperpnoea syndrome%Clinical effect
目的:对自动调节持续气道正压通气治疗老年阻塞睡眠呼吸暂停低通气综合征的疗效进行探讨和分析。方法:随机选择2010年2月-2013年2月在本院睡眠呼吸障碍诊治中心通过多导睡眠图(PSG)得到确诊的42例老年中重度睡眠呼吸暂停低通气综合征(OSAHS)患者作为研究对象。采用型号为SW-SM2000C的多导睡眠检测仪对OSAHS患者进行全夜的睡眠监测(≥7 h)。采用SleepStyle200系列自动调压呼吸机对OSAHS患者进行治疗。结果:经自动调节持续气道正压通气治疗之后,患者的鼾声、夜间多尿以及白天嗜睡等状况得到明显的改善。此外,患者的AHI、夜间的最低血氧饱和度以及全夜小于90%血氧饱和度时间分别由治疗前的(57.8±17.2)次/h、(61.1±15.9)min、(162.7±114.2)min改善为治疗后的(11.2±5.1)次/h、(88.2±3.6)min以及(9.8±3.2)min。治疗前后比较差异有统计学意义(P<0.05)。结论:自动调节持续气道正压通气是治疗OSAHS的一种非常有效的方式,可以使患者的临床症状得到明显的改善,值得在临床上广泛推广使用。
目的:對自動調節持續氣道正壓通氣治療老年阻塞睡眠呼吸暫停低通氣綜閤徵的療效進行探討和分析。方法:隨機選擇2010年2月-2013年2月在本院睡眠呼吸障礙診治中心通過多導睡眠圖(PSG)得到確診的42例老年中重度睡眠呼吸暫停低通氣綜閤徵(OSAHS)患者作為研究對象。採用型號為SW-SM2000C的多導睡眠檢測儀對OSAHS患者進行全夜的睡眠鑑測(≥7 h)。採用SleepStyle200繫列自動調壓呼吸機對OSAHS患者進行治療。結果:經自動調節持續氣道正壓通氣治療之後,患者的鼾聲、夜間多尿以及白天嗜睡等狀況得到明顯的改善。此外,患者的AHI、夜間的最低血氧飽和度以及全夜小于90%血氧飽和度時間分彆由治療前的(57.8±17.2)次/h、(61.1±15.9)min、(162.7±114.2)min改善為治療後的(11.2±5.1)次/h、(88.2±3.6)min以及(9.8±3.2)min。治療前後比較差異有統計學意義(P<0.05)。結論:自動調節持續氣道正壓通氣是治療OSAHS的一種非常有效的方式,可以使患者的臨床癥狀得到明顯的改善,值得在臨床上廣汎推廣使用。
목적:대자동조절지속기도정압통기치료노년조새수면호흡잠정저통기종합정적료효진행탐토화분석。방법:수궤선택2010년2월-2013년2월재본원수면호흡장애진치중심통과다도수면도(PSG)득도학진적42례노년중중도수면호흡잠정저통기종합정(OSAHS)환자작위연구대상。채용형호위SW-SM2000C적다도수면검측의대OSAHS환자진행전야적수면감측(≥7 h)。채용SleepStyle200계렬자동조압호흡궤대OSAHS환자진행치료。결과:경자동조절지속기도정압통기치료지후,환자적한성、야간다뇨이급백천기수등상황득도명현적개선。차외,환자적AHI、야간적최저혈양포화도이급전야소우90%혈양포화도시간분별유치료전적(57.8±17.2)차/h、(61.1±15.9)min、(162.7±114.2)min개선위치료후적(11.2±5.1)차/h、(88.2±3.6)min이급(9.8±3.2)min。치료전후비교차이유통계학의의(P<0.05)。결론:자동조절지속기도정압통기시치료OSAHS적일충비상유효적방식,가이사환자적림상증상득도명현적개선,치득재림상상엄범추엄사용。
Objective:To evaluate automatic continuous positive airway pressure ventilation in the treatment of senile obstructive sleep apnea hyperpnoea syndrome curative effect. Method:From 2010 February 2 to 2013 February 2 in our hospital sleep apnea treatment center(PSG)42 elderly patients diagnosed with moderate to severe obstructive sleep apnea hyperpnoea syndrome(OSAHS)were selected as research object. Sleep monitoring using SW-SM2000C model for the whole night polysomnography were performed in patients with OSAHS detector(greater than or equal to 7h). The SleepStyle200 series automatic pressure ventilator was used in the treatment for OSAHS patients. Result:After automatic continuous positive airway pressure ventilation in the treatment of patients with snoring,daytime sleepiness,nocturnal polypro and conditions have been significantly improved. In addition,AHI,the lowest oxygen saturation and night all night less than 90%oxygen saturation time of the patients were improved from(57.8±17.2)time/h, (61.1±15.9)min,(162.7±114.2)min before treatment to(11.2±5.1)time/h,(88.2±3.6)min and(9.8±3.2)min after treatment. Contrast difference before and after treatment was significant(P<0.05). Conclusion:Automatic continuous positive airway pressure is a very effective way of treating OSAHS,which can make the patient’s clinical symptoms improve obviously,and is worth to be widely used in clinical.