自动滴定连续气道正压通气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

目的:了解自动滴定连续气道正压通气(auto-CPAP)对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者睡眠质量的影响.方法:分析51例OSAHS患者使用auto-CPAP前后的睡眠结构和相关功能障碍的变化.结果: 使用Auto-CPAP后,患者觉醒次数和微觉醒指数下降,浅睡眠减少,深睡眠和快动眼睡眠增加,呼吸暂停低通气指数(AHI)、腿动指数和最大心率下降,平均动脉氧饱和度和最小动脉氧饱和度均增加(P均＜0.000);平均动脉氧饱和度、最小动脉氧饱和度、微觉醒指数、腿动指数改善与AHI的改善均呈正相关(r分别为0.529、0.504、0.661、0.427);P均＜0.01.结论:auto-CPAP可以改善OSAHS患者的睡眠质量和相关障碍,这种改善与AHI的改善有关.

Effect of automatic continuous positive airway pressure on sleep architecture of obstructive sleep apnea GAAB2 hypopnea syndrome

Aim: To explore the effect of automatic continuous positive airway pressure ( auto-CPAP) on sleep architecture of obstructive sleep apnea-hypopnea syndrome (OSAHS). Methods: Sleep architecture and relative disturbances of 51 cases of OSAHS were analyzed before and after auto-CPAP. Results: The awakening and somnolence times, leg movement index, and max heart rate (P<0.000) of OSAHS patients decreased after auto-CPAP, and deep sleep, baseline SpO_2, minimum SpO_2 increased (P<0.000). There are all significantly postive correlation between improvement of AHI and improvement of baseline SpO_2, minimum SpO_2, arouse index, leg movement index (r was 0.529, 0.504, 0.661, 0.427 , respectively, P<0.01).Conclusion: Auto-CPAP can improve sleep architecture and relative disturbances of OSAHS patients, which are related to the improvement of AHI.