Park Kyoung Sook, Chang Jung Hyun, Kang Ea Wha
Division of Nephrology, Department of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Department of Otorhinolaryngology, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Kidney Res Clin Pract. 2018 Mar;37(1):89-93. doi: 10.23876/j.krcp.2018.37.1.89. Epub 2018 Mar 31.
This report describes the case of a hypertensive 51-year-old male with a 3-year history of peritoneal dialysis. We followed the patient through his diagnosis of severe obstructive sleep apnea (OSA) and treatment with continuous positive airway pressure (CPAP). Therapeutic use of CPAP led to the improvement of not only sleep-related problems, but also cognitive function and quality of life. To our knowledge, this is the first paper describing the benefits of long-term CPAP treatment in an OSA patient undergoing dialysis. This case report emphasizes the need for the proactive diagnosis and treatment of OSA in end-stage renal disease patients to improve patient-centered healthcare.
本报告描述了一名51岁的高血压男性患者，其有3年腹膜透析病史。我们对该患者进行了跟踪，从其被诊断为重度阻塞性睡眠呼吸暂停（OSA）到接受持续气道正压通气（CPAP）治疗。CPAP的治疗性使用不仅改善了与睡眠相关的问题，还改善了认知功能和生活质量。据我们所知，这是第一篇描述长期CPAP治疗对一名接受透析的OSA患者有益的论文。本病例报告强调了对终末期肾病患者进行OSA主动诊断和治疗的必要性，以改善以患者为中心的医疗保健。
