29例持续气道正压通气治疗阻塞性睡眠呼吸暂停低通气综合征病例分析

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目的探讨自动调节持续气道正压通气(auto-CPAP)对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的治疗效果。结果不同严重程度的OSAHS患者经过auto-CPAP治疗后临床症状明显改善,血氧饱和度(SPO2)明显升高,睡眠呼吸紊乱指数(AHl)明显降低,觉醒次数明显减少,呼吸暂停时间明显缩短,所占呼吸事件次数比例下降;低通气时间亦有明显缩短。治疗前后监测主要指标有极显著差异(P<0.01)。结论对于中重度OSAHS患者经过auto-CPAP治疗后症状好转,各项监测指标明显改善,持续气道正压通气(CPAP)是治疗阻塞性睡眠呼吸暂停低通气综合征的有效方法。 Objective To investigate the effect of auto-adjusting continuous auto-CPAP on obstructive sleep apnea-hypopnea syndrome (OSAHS). Results The symptoms of OSAHS patients with different severity were significantly improved after the auto-CPAP treatment. The oxygen saturation (SPO2) was significantly increased, the index of sleep-disordered breathing (AHl) was significantly decreased, the number of awakening was significantly reduced, the apnea time was significantly shortened, The proportion of the number of respiratory events decreased; hypoventilation time was significantly shortened. The main indicators before and after treatment were significantly different (P <0.01). Conclusions The symptoms of patients with moderate-severe OSAHS improved after auto-CPAP treatment, and the monitoring indicators improved significantly. Continuous positive airway pressure (CPAP) is an effective treatment for obstructive sleep apnea-hypopnea syndrome.
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