Afsharpaiman Shahla, Shahverdi Ehsan, Vahedi Encieh, Aqaee Hossein
Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Students' Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Tanaffos. 2016;15(1):25-30.
Obstructive sleep apnea (OSA) is a common condition in adults. In most cases, first-line therapy includes treatment with positive airway pressure devices. However, because of discomfort, continuous positive airway pressure (CPAP) compliance is often poor. To determine the willingness of patients to use CPAP device, the relationship of demographic and polysomnographic variables with tolerance and the willingness to use CPAP, was evaluated.
In this cross-sectional study, 120 OSA patients who were treated with CPAP in Baqiyatallah Hospital, Tehran, Iran, were selected by convenience sampling. Polysomnographic variables, willingness to use CPAP for short and long periods of time and possible complications were evaluated.
One hundred-twenty cases with a mean age of 53±10.3 years were assessed. The mean Epworth Sleepiness Scale (ESS) score was 11.9 ± 6.2 in CPAP users versus 11.8±6.1 in patients who did not use CPAP. The willingness to use CPAP for short-term was significantly different between the two groups (P=0.008). The average minimum oxygen saturation rate of patients was 75.21% in CPAP users versus 71.63% in non CPAP users. Also, the average desaturation index was higher in CPAP users (54.5 vs. 44.98). The mean ESS was 14.03 ± 6.19 in those who accepted long-term treatment versus 8.85 ± 4.89 (P=0.003). Skin wounds and rhinitis were reported in 4.1% and 4.1% of patients, respectively.
It is concluded that high CPAP compliance rates are achievable through comprehensive CPAP therapy.
阻塞性睡眠呼吸暂停（OSA）在成年人中很常见。在大多数情况下，一线治疗包括使用气道正压装置进行治疗。然而，由于不适，持续气道正压通气（CPAP）的依从性往往很差。为了确定患者使用CPAP设备的意愿，评估了人口统计学和多导睡眠图变量与耐受性以及使用CPAP意愿之间的关系。
在这项横断面研究中，通过便利抽样选择了伊朗德黑兰巴奇亚塔拉医院120例接受CPAP治疗的OSA患者。评估了多导睡眠图变量、短期和长期使用CPAP的意愿以及可能的并发症。
评估了120例平均年龄为53±10.3岁的患者。CPAP使用者的平均爱泼沃斯嗜睡量表（ESS）评分为11.9±6.2，未使用CPAP的患者为11.8±6.1。两组之间短期使用CPAP的意愿有显著差异（P=0.008）。CPAP使用者的患者平均最低氧饱和度率为75.21%，非CPAP使用者为71.63%。此外，CPAP使用者的平均去饱和指数更高（54.5对44.98）。接受长期治疗的患者的平均ESS为14.03±6.19，而未接受长期治疗的患者为8.85±4.89（P=0.003）。分别有4.1%和4.1%的患者报告有皮肤伤口和鼻炎。
得出的结论是，通过全面的CPAP治疗可以实现较高的CPAP依从率。
