首页|呼吸肌训练应用于阻塞性睡眠呼吸暂停低通气综合征治疗的临床价值探讨

呼吸肌训练应用于阻塞性睡眠呼吸暂停低通气综合征治疗的临床价值探讨

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目的 研究阻塞性睡眠呼吸暂停低通气综合征(Obstructive Sleep Apnea-hypopnea Syndrome,OSAHS)患者接受呼吸肌训练的临床效果.方法 便利选取2021年1月—2022年12月常熟市第一人民医院门诊的106例OSAHS患者作为研究对象,采用数字表法分成两组,每组53例,对照组(应用减重、运动锻炼等常规治疗方案),研究组(在常规治疗基础上展开呼吸肌训练),均给予8周的治疗.比较两组患者治疗前后的嗜睡情况[采用Epworth嗜睡量表(Epworth Sleepiness Scale,ESS)评估]、肺容量及功能、睡眠监测等相关指标.结果 治疗8周后,研究组ESS评分为(6.75±2.05)分,低于对照组的(10.05±2.46)分,差异有统计学意义(t=7.502,P<0.05).治疗8周后,研究肺容量及功能指标高于对照组,差异有统计学意义(P均<0.05).治疗8周后,研究组呼吸暂停时间、最长低通气时间、睡眠呼吸暂停低通气指数、微觉醒次数均低于对照组,最低血氧饱和度高于对照组,差异有统计学意义(P均<0.05).结论 治疗OSAHS患者时,联合呼吸肌训练治疗有助于患者肺功能恢复,呼吸暂停低通气症状好转,可提升患者睡眠质量,具有一定的疗效.
The Clinical Value of Exploring the Application of Respiratory Muscle Training in The Treatment of Obstructive Sleep Apnea Hypopnea Syn-drome
Objective Study the clinical effect of respiratory muscle training on patients with obstructive sleep apnea hypopnea syndrome(OSAHS).Methods A total of 106 OSAHS patients from the outpatient department of Changshu First People's Hospital from January 2021 to December 2022 were conveniently selected as the research subjects and divided into two groups with 53 cases in each group by digital table method.The control group(using conventional treatment plans such as weight loss and exercise)and the study group(conducting respiratory muscle training on the basis of conventional treatment)were given 8-week treatment.Compare the sleepiness[assessed by the Epworth Sleepiness Scale(ESS)]and lung volume and function,as well as sleep monitoring,before and after treatment in the two groups of patients.Results After 8 weeks of treatment,the ESS score of the study group was(6.75±2.05)points,which was lower than(10.05±2.46)points of the control group,and the difference was statistically significant(t=7.502,P<0.05).After 8 weeks of treatment,the study lung volume and function index was higher than that of the control group,and the differences were statistically significant(both P<0.05).After 8 weeks of treatment,the apnea time,lon-gest hypopnea time,sleep apnea hypopnea index and micro-awakening times of the study group were lower than those of the control group,and the lowest oxygen saturation was higher than that of the control group,the differences were statistically significant(all P<0.05).Conclusion In the treatment of OSAHS patients,combined respiratory muscle training can help patients recover lung function,improve the symptoms of apnea and hypopnea,improve the sleep quality of patients,and has certain curative effect.

Respiratory muscle trainingObstructive sleep apnea hypopnea syndromeClinical value

朱洁、祝晋芳、金杨、钱俊枫

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常熟市第一人民医院呼吸与危重症医学科,江苏 常熟 215500

呼吸肌训练 阻塞性睡眠呼吸暂停低通气综合征 临床价值

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(18)