CAJ | 학술논문

目的：探讨我省患有阻塞性睡眠呼吸暂停低通气综合征( OSAHS)的患者进行持续正压通气( CPAP)治疗的依从性及其影响因素。方法选择在我院行PSG检查,诊断符合《睡眠呼吸暂停综合征诊治指南》且资料完整,拟行CPAP治疗的OSAHS患者151例,其中男119,女32例。记录其一般情况及PSG监测数据。制定依从性调查表,并进行电话随访。分析其治疗依从性及影响治疗依从性的因素。结果①我省OSAHS患者治疗依从性好者为52．3%,经济因素是影响患者治疗依从性的一个明显因素；②在影响患者依从性的因素中,患者经CPAP治疗后主观症状的改善是一个主要的影响因素；③在四川,炎热天气因素是影响患者治疗依从性的一个较重要因素；④患者的性别、年龄、职业、学历及AHI、BMI、颈围等不是影响患者CPAP治疗依从性的因素；⑤CPAP使用中的副作用如压力不适、鼻咽不适、面罩漏气等对患者治疗的依从性无明显影响。结论我省OSAHS患者进行CPAP治疗的依从性好者为52.3%,依从性较国外患者差,影响患者治疗依从性的主要因素是患者治疗后的症状改善,在四川地区,经济因素及气温也是影响患者治疗依从性的原因。
목적：탐토아성환유조새성수면호흡잠정저통기종합정( OSAHS)적환자진행지속정압통기( CPAP)치료적의종성급기영향인소。방법선택재아원행PSG검사,진단부합《수면호흡잠정종합정진치지남》차자료완정,의행CPAP치료적OSAHS환자151례,기중남119,녀32례。기록기일반정황급PSG감측수거。제정의종성조사표,병진행전화수방。분석기치료의종성급영향치료의종성적인소。결과①아성OSAHS환자치료의종성호자위52．3%,경제인소시영향환자치료의종성적일개명현인소；②재영향환자의종성적인소중,환자경CPAP치료후주관증상적개선시일개주요적영향인소；③재사천,염열천기인소시영향환자치료의종성적일개교중요인소；④환자적성별、년령、직업、학력급AHI、BMI、경위등불시영향환자CPAP치료의종성적인소；⑤CPAP사용중적부작용여압력불괄、비인불괄、면조루기등대환자치료적의종성무명현영향。결론아성OSAHS환자진행CPAP치료적의종성호자위52.3%,의종성교국외환자차,영향환자치료의종성적주요인소시환자치료후적증상개선,재사천지구,경제인소급기온야시영향환자치료의종성적원인。
Objective To explore influencing factor and compliance with continuous positive airway pressure ( CPAP) in obstructive sleep apnea syndrome in sichuan. Methods 151 patients with obstructive sleep apnea syndrome diagnosed by means of polysomnwgram﹙PSG﹚were titrated in our hospital, male 119 and female 32,They are plan to by CPAP for treatment . Re-cord their data of PSG and general state of health. we, telephone them about their therapy ,and record it. Analyses influencing fac-tor and Compliance with CPAP in obstructive sleep apnea syndrome. Results ①The compliance with CPAP in OSAHS is 52. 3%in sichuan,poor is a predominant factor influenceing compliance;②Complaint improved by CPAP is a predominant factor among factor influenceing compliance.③Based on our research;we think sex age and AHI BMI size of neck in OSAHS patients are not factor influenceing compliance.④Hot weather is also a factoe infulenceing compliance in Sichuan 5 adverse reaction caused by CPAP, such as the pressure of CPAP、inward mask leakage nasopharynx complaint ,don’t effect compliance with CPAP in patiarn-ts with OSAHS. Conclusion The compliance with PAP in OSAHS is 52. 3% in sichuan, complaint improved by CPAP is a pre-dominant factor influence compliance, poor and hot weather are also importent factor influence compliance.