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持续气道正压通气对合并嗜睡的轻度OSAHS患者的疗效分析

  • 摘要: 目的:评估持续气道正压通气(continuous positive airway pressure, CPAP)对合并嗜睡的轻度阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)患者的症状和生活质量的影响。方法:纳入轻度OSAHS患者74例,以Epworth嗜睡量表(Epworth sleepiness scale,ESS)进行嗜睡评估,ESS≥10分为嗜睡。伴嗜睡者行CPAP治疗,ESS<10分者行健康教育治疗。以Quebec 睡眠问卷(Quebec sleep questionnaire,QSQ)进行生活质量评估。8周后对所有患者进行随访。结果:CPAP治疗后, 轻度OSAHS患者ESS评分明显下降(P<0.01),而QSQ评分显著升高(P<0.01),说明CPAP治疗能改善轻度OSAHS患者的嗜睡情况和生活质量。结论:轻度OSAHS患者合并有不同程度的嗜睡,并造成生活质量的下降;CPAP能改善轻度OSAHS患者的嗜睡症状及生活质量。

     

    Abstract: Objective:To evaluate the effect of continuous positive airway pressure (CPAP) on symptoms and the quality of life of patients with mild obstructive sleep apnea hypopnea syndrome (OSAHS) complicated with somnolence.Methods:Seventy-four patients with mild OSAHS were recruited. Epworth sleepiness scale (ESS) was used to evaluate the degree of somnolence. Patients with ESS scores more than ten were designated as somnolence, and CPAP was conducted. Patients with ESS scores less than ten were designated as non-somnolence, and health education was conducted. Quebec sleep questionnaire (QSQ) was adopted to evaluate the quality of life. All patients were followed up for eight weeks.Results:After CPAP treatment, the ESS scores of mild OSAHS patients significantly decreased (P<0.01), and the QSQ scores significantly increased (P<0.01), indicating that CPAP treatment can improve the somnolence and quality of life in patients with mild OSAHS.Conclusions:Patients with mild OSAHS have different degrees of somnolence, which leads to a decline in quality of life. CPAP can improve somnolence and quality of life in patients with mild OSAHS.

     

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