[持续气道正压通气治疗的长期依从性——更新、预测因素及干预措施]
[Long-term compliance of cpap-therapy--update, predictors and interventions].
作者信息
Orth M, Kotterba S, Walther J W, Rasche K, Schultze-Werninghaus G, Duchna H-W
机构信息
Berufsgenossenschaftliche Kliniken Bergmannsheil, Universitätsklinik, Klinikum der Ruhr-Universität Bochum, Medizinische Klinik III, Pneumologie, Allergologie, Schlaf- und Beatmungsmedizin.
出版信息
Pneumologie. 2006 Aug;60(8):480-4. doi: 10.1055/s-2006-944234.
CPAP (continuous positive airway pressure) is the therapy of choice for obstructive sleep apnea syndrome (OSAS). About 70 % of patients on CPAP use their device for at least 70 % of nights with an application-time of at least 4 hours per night. Severity of breathing disorder respectively disturbance of sleep architecture, degree of daytime sleepiness and patients' satisfaction with diagnostic and therapeutic procedures are good predictors of long-term CPAP-compliance. CPAP-compliance can be increased by intensive patient education. Alternative devices like for example Bilevel or auto-CPAP respectively cannot augment CPAP compliance.
持续气道正压通气（CPAP）是阻塞性睡眠呼吸暂停低通气综合征（OSAS）的首选治疗方法。使用CPAP治疗的患者中，约70%每晚至少使用该设备70%的时间，且每晚使用时间至少为4小时。呼吸紊乱的严重程度、睡眠结构的紊乱程度、白天嗜睡程度以及患者对诊断和治疗程序的满意度是长期CPAP依从性的良好预测指标。加强患者教育可提高CPAP依从性。诸如双水平气道正压通气或自动CPAP等替代设备并不能提高CPAP依从性。
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