Terán Santos J, Quintana González J I, Morato Arnáiz A, Lázaro Asegurado L, García Arroyo I
Sección de Neumología, Hospital General Yagüe, Burgos.
Rev Clin Esp. 1996 Aug;196(8):509-14.
The therapy of the obstructive sleep apnea syndrome (OSAS) with nasal continuous positive airway pressure (CPAP) eliminates symptoms of OSAS and is currently the non-surgical therapy of choice. The present study was undertaken to evaluate the compliance with such therapy in our setting, the factors associated with it, and the secondary effects. A sample of 88 patients diagnosed with OSAS and undergoing CPAP followed for a period of 29 +/- 11 months was studied. The results showed that compliance among our patients, as measured by time counter, was 70% and was associated with drowsiness degree, apnea/hypopnea index, and mean pressure of CPAP. The subjective evaluation of compliance by patients overestimates the actual use of the CPAP device. There was a high satisfaction degree with therapy, and secondary effects were not a limiting factor for compliance. The therapeutical approach of the patient must be on an individual basis if a good acceptance level is to be achieved.
采用鼻持续气道正压通气（CPAP）治疗阻塞性睡眠呼吸暂停综合征（OSAS）可消除OSAS症状，目前是首选的非手术治疗方法。本研究旨在评估在我们的环境中对这种治疗的依从性、与之相关的因素以及继发效应。对88例被诊断为OSAS并接受CPAP治疗29±11个月的患者样本进行了研究。结果显示，通过时间计数器测量，我们患者的依从性为70%，且与嗜睡程度、呼吸暂停/低通气指数和CPAP平均压力相关。患者对依从性的主观评估高估了CPAP设备的实际使用情况。对治疗的满意度较高，继发效应不是影响依从性的限制因素。如果要达到良好的接受程度，患者的治疗方法必须因人而异。
