电话随访对阻塞性睡眠呼吸暂停综合征患者使用正压通气依从性的影响

目的探讨电话随访对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者使用经鼻持续正压通气(CPAP)治疗依从性的干预效果。方法将60例使用CPAP治疗的OSAHS患者分为观察组和对照组各30例,观察组在常规治疗指导、嘱其定期复诊的基础上,定期电话随访,对患者在治疗期间出现的和可能出现的问题进行指导。对照组行常规治疗指导,嘱其定期复诊;两组接受CPAP治疗前和治疗后6个月进行嗜睡评分及呼吸机使用情况比较。结果观察组的呼吸紊乱指数(AHI)、平均漏气量低于对照组,观察组的使用天数及使用天数的平均使用时间、使用天数治疗时间>4h、最低氧饱和度(LSAT)均高于对照组。结论电话随访能有效提高OSAHS患者使用CPAP治疗的依从性,改善患者呼吸状态。

Influence of follow-up by telephone on rehabilitation compliance of obstructive sleep apnea syndrome patients treated with continuous positive airway pressure

Objective Research the follow-up effect for the compliance of obstructive sleep apnea syndrome(OSAHS) patients treated with nasal continuous positive airway pressure(CPAP) by telephone.Methods Divide sixty OSAHS patients treated with CPAP into observation groups and control group.Both groups have 30 patients.The patients in control group were carried on routing guidance treatment and enjoined regular subsequent visit.The patients in observation group were carried on the above-mentioned treatment and also receive regular follow-up by telephone.Through the follow-up by telephone we provided guidance for present and will-present problems.Then we compared the EPWorth sleepiness scale(ESS) and status of using breathing machine before and after half of year.Results The apnea hyponea index(AHI) and average air leakage of patients in observation group were lower than those in control group.The average total days,average actual using days and percentage of treatment time higher than 4 hours in using days in the observation group were higher than the control group.Conclusions The follow-up by telephone can improve the compliance of the OSAHS patients with treatment of CPAP and reduce the medical burden.