Manga Günaydın Filiz, Yılmaz Güneş Zahide
Neurology Clinic, Kocaeli Derince Training and Research Hospital, Kocaeli, Türkiye.
J Sex Marital Ther. 2025;51(3):261-270. doi: 10.1080/0092623X.2025.2462055. Epub 2025 Feb 13.
The aim of this study was to show the effect of positive airway pressure (PAP) treatment on sexuality that has been negatively affected in female patients with obstructive sleep apnea syndrome (OSAS). The study included 26 females diagnosed with OSAS. Analyses were made of the sociodemographic data and polysomnography (PSG) and PAP titration data. Before and after 2 months of PAP treatment, the patients were evaluated using the Female Sexual Function Index (FSFI), the Beck Depression Inventory (BDI), and the Epworth Sleepiness Scale (ESS). There was determined to be a 2.67 ± 5.19 unit increase in the total FSFI measurements ( = 0.015, < 0.05) post-PAP compared to before PAP treatment, and of the FSFI subscale measurements, a 0.65 ± 0.97 unit increase in desire ( = 0.002, < 0.01) and a 0.75 ± 1.80 unit increase in satisfaction ( = 0.042, < 0.05). These increases were determined to be statistically significant. The ESS measurements showed a statistically significant decrease of 2.04 ± 4.69 units from pre to post-PAP ( = 0.036, < 0.05) and there was a 3.04 ± 6.27 unit decrease in the BDI measurements ( = 0.021, < 0.05). Correction of oxygen saturation with PAP treatment and a decrease in depressive complaints in female patients with sleep apnea may significantly improve sexual functions.
本研究的目的是展示气道正压通气（PAP）治疗对阻塞性睡眠呼吸暂停综合征（OSAS）女性患者受到负面影响的性功能的作用。该研究纳入了26名被诊断为OSAS的女性。对社会人口统计学数据、多导睡眠图（PSG）和PAP滴定数据进行了分析。在PAP治疗2个月前后，使用女性性功能指数（FSFI）、贝克抑郁量表（BDI）和爱泼华嗜睡量表（ESS）对患者进行评估。与PAP治疗前相比，PAP治疗后FSFI总测量值增加了2.67±5.19个单位（P = 0.015，P<0.05），在FSFI子量表测量中，性欲增加了0.65±0.97个单位（P = 0.002，P<0.01），满意度增加了0.75±1.80个单位（P = 0.042，P<0.05）。这些增加被确定具有统计学意义。ESS测量显示，从PAP治疗前到治疗后有统计学意义的下降，下降了2.04±4.69个单位（P = 0.036，P<0.05），BDI测量下降了3.04±6.27个单位（P = 0.021，P<0.05）。通过PAP治疗纠正氧饱和度以及减少睡眠呼吸暂停女性患者的抑郁症状可能会显著改善性功能。
