气道正压通气对睡眠呼吸暂停综合征的疗效

Effect of nasal continuous positive airway pressure treated with obstructive sleep apnea syndrome

目的:了解阻塞型睡眠呼吸暂停综合征(OSAS)患者在经鼻持续气道正压通气(nCPAP)治疗前后的睡眠特征和心身状况变化。方法:nCPAP治疗35例OSAS患者,治疗前、后分别采用多导睡眠分析仪对患者进行检查,分析治疗前、后多导睡眠图(PSG)各项指标改变。结果:治疗后患者临床症状消除,睡眠结构、最低血氧饱和度及呼吸紊乱指数等各项指标均有明显改善(P<0·01)。结论:nCPAP治疗不仅使睡眠呼吸暂停综合征(SAS)患者嗜睡、疲乏等临床症状消失,明显改善睡眠结构,而且改善心身健康状况。

Objective：To evaluate the sleep feature and psychosomatic status of the patients with obstructive sleep apnea syndrome （OSAS）before and after treatment with nasal continuous positive airway pressure（nCPAP）. Method： Thirty-live OSAS patients were treated by nCPAP and evaluated with sleep feature and psychosomatic status by polysonmography （PSG） before and after treatment. Results： After treatment, clinical symptoms of the patients were disappeared. And the items of PSG, such as sleep pattern, minimum SaO2 value and respiratory event index improved markedly （ P 〈 0.01 ）. Conclusion： Not only can the treatment of nCPAP relief of drowse and fatigue and improve sleep structure of the patients with, but also their psychosomatic status are improved SAS.