伊朗阻塞性睡眠呼吸暂停患者对持续气道正压通气的依从性。
Compliance with continuous positive airway pressure in Persian patients with obstructive sleep apnea.
作者信息
Soltaninejad Forogh, Sadeghi Ali, Amra Babak
机构信息
Department of Pulmonary Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Internal Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
J Res Med Sci. 2017 Oct 31;22:114. doi: 10.4103/jrms.JRMS_108_17. eCollection 2017.
BACKGROUND
Obstructive sleep apnea (OSA) is defined by recurrent apnea and hypopnea during sleep. The main treatment of OSA is continuous positive airway pressure (CPAP). Adherence to CPAP is challenging and depends on multiple factors. This study was designed to evaluate the compliance with CPAP in patients with OSA.
MATERIALS AND METHODS
This was a prospective observational study including 106 patients with confirmed OSA by a standard polysomnography. We recorded CPAP usage hours after 7 and 90 days by a smart card. We compared the adherence of the patients with respect to body mass index (BMI), gender, smoking status, living area, and education level.
RESULTS
Patients in the 18-45 years' age group had higher compliance in mean (standard deviation) daily use of CPAP (0.93 [0.40] h) compared to the other age groups (P < 0.001). Patients with BMI >35 had better compliance (1.13 [0.44]) than the other patients (P < 0.001). Furthermore, nonsmokers and highly educated patients had better compliance compared to the others ( < 0.001).
CONCLUSION
Age, BMI, education, and smoking are important factors in adherence to CPAP in patients with OSA.
背景
阻塞性睡眠呼吸暂停（OSA）定义为睡眠期间反复出现呼吸暂停和呼吸不足。OSA的主要治疗方法是持续气道正压通气（CPAP）。坚持使用CPAP具有挑战性，且取决于多种因素。本研究旨在评估OSA患者对CPAP的依从性。
材料与方法
这是一项前瞻性观察性研究，纳入了106例经标准多导睡眠图确诊为OSA的患者。我们通过智能卡记录了7天和90天后的CPAP使用时长。我们比较了患者在体重指数（BMI）、性别、吸烟状况、居住地区和教育水平方面的依从性。
结果
与其他年龄组相比，18 - 45岁年龄组患者CPAP平均（标准差）每日使用时长更高（0.93 [0.40]小时）（P < 0.001）。BMI > 35的患者依从性更好（1.13 [0.44]），优于其他患者（P < 0.001）。此外，与其他患者相比，不吸烟者和受教育程度高的患者依从性更好（P < 0.001）。
结论
年龄、BMI、教育程度和吸烟是OSA患者坚持使用CPAP的重要因素。
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