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远程医疗技术在提高阻塞性睡眠呼吸暂停患者持续气道正压通气依从性中的应用:当前证据综述

Telehealth Technology Application in Enhancing Continuous Positive Airway Pressure Adherence in Obstructive Sleep Apnea Patients: A Review of Current Evidence.

作者信息

Thong Benjamin Ka Seng, Loh Grace Xin Yun, Lim Jia Jan, Lee Christina Jia Liang, Ting Shu Ning, Li Hong Peng, Li Qing Yun

机构信息

Department of Respiratory and Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

Front Med (Lausanne). 2022 May 3;9:877765. doi: 10.3389/fmed.2022.877765. eCollection 2022.

Abstract

Obstructive sleep apnea (OSA) is a common type of sleep-disordered breathing associated with multiple comorbidities. Continuous positive airway pressure (CPAP) is the first choice for moderate-severe OSA but poor compliance brings a great challenge to its effectiveness. Telehealth interventions ease the follow-up process and allow healthcare facilities to provide consistent care. Fifth-generation wireless transmission technology has also greatly rationalized the wide use of telemedicine. Herein, we review the efficacy of the telehealth system in enhancing CPAP adherence. We recommend applying telemonitoring in clinical practice and advocate the development of a biopsychosocial telemedicine model with the integration of several interventions. Big databases and promising artificial intelligent technologies make clinical decision support systems and predictive models based on these databases possible.

摘要

阻塞性睡眠呼吸暂停(OSA)是一种常见的睡眠呼吸障碍类型,与多种合并症相关。持续气道正压通气(CPAP)是中重度OSA的首选治疗方法,但依从性差对其有效性构成了巨大挑战。远程医疗干预简化了随访过程,并使医疗机构能够提供持续的护理。第五代无线传输技术也极大地推动了远程医疗的广泛应用。在此,我们综述了远程医疗系统在提高CPAP依从性方面的疗效。我们建议在临床实践中应用远程监测,并倡导开发一种整合多种干预措施的生物心理社会远程医疗模式。大型数据库和有前景的人工智能技术使基于这些数据库的临床决策支持系统和预测模型成为可能。

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