463 The Effect of Intervention of Medical Staff on the Adherence of CPAP and Heart Rate in Patients with Obstructive Sleep Apnea
463 The Effect of Intervention of Medical Staff on the Adherence of CPAP and Heart Rate in Patients with Obstructive Sleep Apnea
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463 医护人员干预对阻塞性睡眠呼吸暂停患者CPAP呼吸机依从性和心率的影响
DOI：
10.1093/sleep/zsab072.462
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发表时间：
2021
期刊：
影响因子：
5.6
通讯作者：
Mitsukura Yasue
中科院分区：
文献类型：
--
作者：
Shirahama Ryutaro;Ishimaru Rie;Takagiwa Jun;Mitsukura Yasue
方法对所有确诊为OSA并接受CPAP治疗的患者进行为期12个月的临床随访，观察CPAP治疗依从性、血压、24 h平均心率和睡眠阶段的纵向变化。将患者分为两组，A组为使用CPAP前有睡眠医师和技术人员亲自会诊的患者，B组为未进行单独会诊的患者。两组患者均在CPAP开始后接受睡眠医师和技术人员的远程监护咨询。如果依从性差，建议患者停止CPAP。我们提供了3D加速度计和光脉冲光电容积描记术的所有患者和分析的数据的心率和睡眠stages.ResultsA共30 OSA患者接受CPAP，被纳入研究，并评估在研究期间的平均心率和体重的变化。我们发现，与基线相比，A组和B组的平均心率均显著降低（p<-0.05）。年龄<50岁、AHI< 20次/h的患者CPAP治疗退出率较高。A组与B组CPAP治疗持续率差异无统计学意义。此外，A组和B组之间没有显着的关联被发现对CPAP的依从性。ConclusionWe显示的重要性，医务人员的干预对CPAP的依从性和心率在OSA患者的咨询后，开始使用CPAP一段时间，利用远程监测数据将更有效的人相比，在开始使用CPAP之前。
MethodsAll patients diagnosed with OSA and undergoing subsequent CPAP were clinically followed for 12 months to examine CPAP adherence, as well as longitudinal changes in blood pressure, average heartrate of 24 hours and sleep stages. They were divided into 2 groups, Group A: patients who had individual consulted in person by sleep physician and technicians before start using CPAP and Group B: patents who did not have individual consulted. Patients in both groups were consulted by sleep physician and technicians after start CPAP with utilizing tele-monitoring. If the adherence were poor, the patients were recommended to stop CPAP. We provided 3D accelerometer and an optical pulse photoplethysmography to all the patients and analyzed the data of heart rate and sleep stages.ResultsA total of 30 OSA patients underwent CPAP, were enrolled in the study and assessed for changes in mean heart rate and body weight during the study period. We found a significant reduction in mean heart rate in both group A and B compared with baseline (p<-0.05). The patients aged under 50 years old and whose AHI< 20 times/hour have higher ratio of dropout CPAP therapy. There was no significant difference between Group A and Group B on the persistency rate of CPAP therapy. Also, no significant association was found between group A and B on the adherence of CPAP.ConclusionWe showed the importance of the effect of intervention of medical staff on the adherence of CPAP and heart rate in patients with OSA the consultation after starting CPAP for a while with utilizing tele-monitoring data would be more effective compared with that in person before start using CPAP.