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改变日本阻塞性睡眠呼吸暂停患者持续气道正压通气设备的效果:病例系列研究。

The Effects of Changing Continuous Positive Airway Pressure Devices in Japanese Patients with Obstructive Sleep Apnea: A Case Series.

机构信息

Department of Advanced Medicine for Respiratory Failure, Graduate School of Medicine, Kyoto University, Japan.

Department of Respiratory Care and Sleep Control Medicine, Graduate School of Medicine, Kyoto University, Japan.

出版信息

Intern Med. 2023 Jul 15;62(14):2037-2041. doi: 10.2169/internalmedicine.0403-22. Epub 2022 Dec 7.

Abstract

Objective The effects of continuous positive airway pressure (CPAP) devices on obstructive sleep apnea (OSA) in Japanese patients have not been reported. We assessed the effects of changing CPAP devices (from the Philips Respironics device to the ResMed device) on the control of OSA. Methods We retrospectively examined 13 patients with OSA who voluntarily changed from the Philips Respironics device to the ResMed device due to a Philips Respironics CPAP device recall. Data on the apnea-hypopnea index (AHI) were obtained from the CPAP devices for three months before and after changing the devices. Results The AHI obtained from the CPAP devices significantly decreased from 4.4 (3.1-10.7) events/h to 2.0 (0.8-3.6) events/h when patients changed devices (p=0.022). The AHI decreased to <5 events/h after changing devices in 4 patients, whereas it had been ≥5 events/h before changing devices in 6 patients. Conclusion Changing CPAP devices can decrease the AHI.

摘要

目的

关于持续气道正压通气(CPAP)设备对日本阻塞性睡眠呼吸暂停(OSA)患者的影响尚未有报道。我们评估了更换 CPAP 设备(从飞利浦伟康设备更换为瑞思迈设备)对 OSA 控制的影响。

方法

我们回顾性地检查了 13 例因飞利浦伟康 CPAP 设备召回而自愿从飞利浦伟康设备更换为瑞思迈设备的 OSA 患者。在更换设备前后三个月,我们从 CPAP 设备中获得了呼吸暂停低通气指数(AHI)的数据。

结果

当患者更换设备时,CPAP 设备获得的 AHI 从 4.4(3.1-10.7)次/小时显著降低至 2.0(0.8-3.6)次/小时(p=0.022)。在 4 名患者中,更换设备后 AHI 降低至<5 次/小时,而在 6 名患者中,更换设备前 AHI 一直≥5 次/小时。

结论

更换 CPAP 设备可以降低 AHI。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a548/10400402/d8aef20744ec/1349-7235-62-2037-g001.jpg

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