塔里木盆地玛南地区奥陶系鹰山组串珠特征及勘探前景

目的 探讨延续护理对阻塞性睡眠呼吸暂停综合征患者生存质量的影响.方法 将61例阻塞性睡眠呼吸暂停综合征出院患者按随机数字表分为对照组30例和观察组31例,对照组予常规出院指导及定期门诊随访,观察组在常规出院指导基础上实施延续护理.分别在患者出院后3月、6月用Epworth嗜睡评价量表、睡眠紊乱指数及特异性健康相关生存质量问卷评价患者的生存质量,出院后3月比较两组患者呼吸机使用依从性.结果 观察组患者Epworth嗜睡评分、睡眠紊乱指数评分低于对照组,两组评分比较有统计学意义（P＜0.05）;观察组生存质量问卷各维度评分高于对照组,两组评分比较有统计学意义（P＜0.05）;呼吸机使用依从率观察组96.8%、对照组56.7%,两组比较,x2=13.641,P＜0.05.结论 延续护理可提高阻塞性睡眠呼吸暂停综合征患者的生存质量.

Effect of extended care on quality of life for patients with obstructive sleep apnea syndrom

Objective To study the effect of extended care on quality of life for patients with obstructive sleep apnea syn- drome（OSAS）. Method Divide 61 patients with OSAS into control group（n=30） and observation group （n=31） by ran- dom number table. Patients in control group receive routine discharge guidance and regular follow-up. Patients in observa- tion group receive extended care based on routine guidance and follow-up. Assess quality of life for patients by Epworth sleepiness scale, sleeping disorder index and specific health-related quality of life assessment 3 month and 6 month after discharge. Compare compliance on ventilator between patients in two groups 3 month after discharge. Result Scores on Ep- worth sleepiness scale and sleeping disorder index are lower in observation group. The difference is significant （P〈0. 05）. Scores on each dimension of quality of life assessment are higher in observation group. The difference is significant （P〈 0. 05）. Compliance on ventilator is 96. 8% in observation group and 56. 7% in control group, .x2= 13. 641, P〈0. 05. Conclusion Extended care can improve quality of life for patients with OSAS.