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评估新型 CPAP 系统对阻塞性睡眠呼吸暂停患者顺应性的影响。

Assessment of the impact on compliance of a new CPAP system in obstructive sleep apnea.

机构信息

ResMed Science Centre, ResMed Ltd,Sydney, Australia.

出版信息

Sleep Breath. 2013 Mar;17(1):69-76. doi: 10.1007/s11325-012-0651-0.

DOI:10.1007/s11325-012-0651-0
PMID:22286779
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3575556/
Abstract

BACKGROUND

Despite the efficacy of continuous positive airway pressure (CPAP) for the treatment of obstructive sleep apnea (OSA), compliance with therapy remains suboptimal.The aim of this study was to determine whether the use of S9TM increased compliance in established CPAP users.

METHODS

Subjects with OSA (50) were recruited into the study. When subjects entered the study, 28 days of respective compliance data were downloaded from the patient's usual CPAP device. Subjects trialled the S9 CPAP for 28 days.Subjects then resumed use of their usual CPAP for 28 days.Compliance data from the patient's usual CPAP pre- and post-trialling S9 were compared with data from the S9 CPAP.

RESULTS

Patients were significantly more compliant when using the S9 than their usual CPAP device both pre- and post-S9 based on average daily usage. CPAP pre-S906.58±1.95(mean hours±SD), S907.08±1.18 h and CPAP post-S906.71±1.72 h. The difference between CPAP pre-S9 and S9 was 0.5 h (p00.003). The difference between S9 and CPAP post-S9 was 0.35 h (p00.01). There was no significant difference between CPAP pre-S9 and CPAP post-S9 (p00.34).Patients also completed questionnaires comparing the S9 system to their usual device. Subjective feedback showed a strong preference for the S9.

CONCLUSIONS

Participants were significantly more compliant when using the S9 than their usual CPAP device both pre and post-S9 use

摘要

背景

尽管持续气道正压通气（CPAP）治疗阻塞性睡眠呼吸暂停（OSA）的疗效确切，但治疗的依从性仍然不理想。本研究旨在确定 S9TM 的使用是否能提高已建立 CPAP 用户的依从性。

方法

招募了 50 名 OSA 患者参加本研究。当患者进入研究时，从患者通常使用的 CPAP 设备中下载了 28 天的各自依从性数据。患者试用 S9 CPAP 28 天。然后，患者恢复使用其通常的 CPAP 28 天。比较患者通常使用的 CPAP 在试用 S9 前后的依从性数据与 S9 CPAP 的数据。

结果

根据平均每日使用量，患者在使用 S9 时比使用其通常的 CPAP 设备更具依从性。CPAP 预 S906.58±1.95（平均小时±SD），S907.08±1.18 小时和 CPAP 后 S906.71±1.72 小时。CPAP 预 S9 和 S9 之间的差异为 0.5 小时（p00.003）。S9 和 CPAP 后 S9 之间的差异为 0.35 小时（p00.01）。CPAP 预 S9 和 CPAP 后 S9 之间无显著差异（p00.34）。患者还完成了比较 S9 系统与他们通常使用的设备的问卷。主观反馈显示出对 S9 的强烈偏好。

结论

参与者在使用 S9 时比使用其通常的 CPAP 设备更具依从性，无论是在使用 S9 之前还是之后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d1/3575556/8e64cb25ec87/11325_2012_651_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d1/3575556/4714e0de5bb7/11325_2012_651_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d1/3575556/34f857c9cc8d/11325_2012_651_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d1/3575556/68951da01ecd/11325_2012_651_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d1/3575556/8e64cb25ec87/11325_2012_651_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d1/3575556/4714e0de5bb7/11325_2012_651_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d1/3575556/34f857c9cc8d/11325_2012_651_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d1/3575556/68951da01ecd/11325_2012_651_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5d1/3575556/8e64cb25ec87/11325_2012_651_Fig4_HTML.jpg

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