Effect of comorbid insomnia on continuous positive airway pressure ventilation in patients with obstructive sleep apnea
- VernacularTitle: 共病失眠症状对阻塞性睡眠呼吸暂停的持续气道正压通气治疗效果影响
- Author:
Jiafeng REN
1
;
Jinxiang CHENG
1
;
Jian QIU
1
Author Information
- Publication Type:Journal Article
- Keywords: Insomnia; Obstructive sleep apnea; Pressure titration
- From: Journal of Apoplexy and Nervous Diseases 2020;37(7):618-622
- CountryChina
- Language:Chinese
- Abstract: Objective To explore the therapeutic effects of comorbid different insomnia symptoms on continuous positive airway pressure （CPAP） in patients with obstructive sleep apnea （OSA）. Methods A total of 202 patients with CPAP in the Department of Neurology of Tangdu Hospital of Air Force military Medical University from 2011 to 2016 were collected. Age，sex，height，weight and past history were collected，as well as the results of Epworth sleepiness scale，polysomnography of diagnostic night and CPAP titration night. The differences of the above indexes between the group of difficulty maintaining sleep and other insomnia groups were analyzed. Results There were 101 patients co-morbid insomnia and sleep apnea （48.95±11.75 years old）. There were 101 patients with OSA only （48.39±11.23 years old）. Compared with other insomnia groups，there were significant differences in proportion of Stage No rapid eye movement 2（NREM 3），proportion of Stage NREM 3，Apnea-hypopnea index（AHI），mean pulse oxygen saturation and oxygen desaturation index in the group of difficulty maintaining sleep after treatment. Conclusion Therapeutic efficacy of patients with comorbid OSA and different insomnia symptoms on CPAP treatment are different. Individualized therapy for insomnia symptoms combined with OSA therapy is benefit for the rehabilitation of these patients.
- Full text:2024080121592610662Effect of comorbid insomnia on continuous positive airway pressure ventilation in patients with obstructive sleep apnea.pdf
