Study on long term compliance of continuous positive airway pressure ventilation in patients with obstructive sleep apnea hypopnea syndrome
10.3760/cma.j.issn.1673-4904.2017.11.010
- VernacularTitle:阻塞性睡眠呼吸暂停低通气综合征持续气道正压通气的远期依从状况研究
- Author:
Haitao FEI
1
;
Chunhua LI
;
Jiafu SONG
;
Man ZHANG
;
Dongxia WANG
Author Information
1. 徐州医科大学附属连云港医院呼吸内科
- Keywords:
Sleep apnea,obstructive;
Continuous positive airway pressure;
Patient compliance;
Retrospective studies
- From:
Chinese Journal of Postgraduates of Medicine
2017;40(11):996-999
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the long-term compliance of continuous positive airway pressure ventilation in patients with obstructive sleep apnea hypopnea syndrome.Methods The clinical data of 62 patients with obstructive sleep apnea hypopnea syndrome were retrospectively analyzed. According to the patients'compliance of continuous positive airway pressure ventilation in 12 months,the patients were divided into 2 groups: good compliance group (34 cases) and poor compliance group (28 cases).The cause of poor compliance and the long-term risk factors of poor compliance with continuous positive airway pressure ventilation in patients with persistent positive airway pressure were analyzed. Results In 28 cases of poor compliance,the main reasons were inadaptation machine during pressure titration of continuous positive pressure ventilation(9 cases),complex operations(6 cases)and unwanted complex treatment(4 cases).The Logistic multiplicity analysis result showed that male(OR=1.737,95% CI 2.397-4.184),rural residence(OR=3.522,95% CI 2.025-3.987),low educational level(OR=3.673,95% CI 2.017-4.812),short time flow monitoring(OR=2.301,95% CI 2.485-4.128),short pressure titration time (OR = 2.012,95% CI 2.783 - 3.573) and many times pressure titration (OR =1.993, 95% CI 2.593 - 3.717) were the independent risk factors of poor compliance of continuous positive airway pressure ventilation in patients with obstructive sleep apnea hypopnea syndrome(P<0.05 or<0.01).Conclusions The long term compliance of continuous positive airway pressure ventilation in patients with obstructive sleep apnea hypopnea syndrome is poor. Health education should be strengthened in patients of male,rural residence,low educational level,short time flow monitoring,short pressure titration time and many times pressure titration,in order to improve the treatment compliance.
