BiPAP呼吸机对阻塞性睡眠呼吸暂停低通气综合征患者睡眠质量的影响

Effect of BiPAP ventilator on sleep quality of patients with obstructive sleep apnea hypopnea syndrome

目的探讨BiPAP呼吸机对阻塞性睡眠呼吸暂停低通气综合征患者睡眠质量的改善作用。方法56例阻塞性睡眠呼吸暂停低通气综合征患者,根据治疗方案的差异分为对照组及实验组,每组28例。对照组采用常规对症治疗,实验组在对照组基础上采用BiPAP呼吸机治疗。对比两组匹茨堡睡眠质量指数(PSQI)评分、血气分析指标[睡眠呼吸暂停低通气指数(AHI)和动脉血氧饱和度(SaO_(2))]及睡眠质量。结果实验组睡眠时间、睡眠质量、睡眠效率、日间功能、入睡时间、睡眠障碍评分以及PSQI总评分均低于对照组,差异有统计学意义(P<0.05)。实验组AHI(1.82±0.32)次/h低于对照组的(37.34±3.23)次/h,SaO_(2)(93.44±0.55)%高于对照组的(85.34±0.43)%,差异有统计学意义(P<0.05)。两组深睡眠和快动眼睡眠占比比较差异无统计学意义(P>0.05);实验组浅睡眠占比42.86%低于对照组的71.43%,睡眠质量综合评分(83.23±4.43)分高于对照组的(75.23±3.12)分,差异具有统计学意义(P<0.05)。结论针对阻塞性睡眠呼吸暂停低通气综合征患者实施BiPAP呼吸机治疗,效果显著,有助于患者睡眠质量的改善,推广应用价值较高。

Objective To discuss the effect of BiPAP ventilator on sleep quality of patients with obstructive sleep apnea hypopnea syndrome.Methods A total of 56 patients with obstructive sleep apnea hypopnea syndrome were divided into control group and experimental group according to the difference of treatment schemes,with 28 cases in each group.The control group was treated with conventional symptomatic therapy,and the experimental group was treated with BiPAP ventilator on the basis of the control group.Both groups were compared in terms of Pittsburgh Sleep Quality Index(PSQI)score,blood gas analysis indexes[apnea hypopnea index(AHI)and blood oxygen saturation(SaO_(2))]and sleep quality.Results The sleep time,sleep quality,sleep efficiency,daytime function,time to fall asleep,sleep disorder score and total PSQI score of the experimental group were lower than those of the control group,and the difference was statistically significant(P<0.05).The AHI(1.82±0.32)times/h in the experimental group was lower than(37.34±3.23)times/h in the control group,and the SaO2(93.44±0.55)%was higher than(85.34±0.43)%in the control group.All the differences were statistically significant(P<0.05).There was no statistically significant difference in the proportion of deep sleep and rapid eye movement sleep between the two groups(P>0.05).The proportion of light sleep 42.86%in the experimental group was lower than 71.43%in the control group,and the comprehensive sleep quality score(83.23±4.43)points was higher than(75.23±3.12)points in the control group.All the differences were statistically significant(P<0.05).Conclusion BiPAP ventilator has significant effect on patients with obstructive sleep apnea hypopnea syndrome,and it helps improve the sleep quality of patients,and has high value in promotion and application.