Effect of IPAP Non-Invasive Ventilation on Cognitive Function and Sleep Status in Elderly Patients with OSAHS
Objective:To investigate the clinical efficacy of BIPAP non-invasive ventilator in elderly patients with obstructive sleep apnea hypopnea syndrome (OSAHS). Methods:Clinical data of 126 elderly patients with OSAHS received from October 2021 to August 2023 were retrospectively analyzed. They were grouped according to treatment methods,with invasive ventilator treatment as the reference group and BiPAP non-invasive ventilator treatment as the study group. Arterial blood gas index (PaO2,PaCO2),cognitive function[Montreal Cognitive Scale (MoCA) score,Simple Mental State Scale (MMSE) score],sleep status[Epworth Lethargy Scale (ESS) score,AHI,total sleep time,EPworth sleep scale (ESS) score before and after treatment were observed in the two groups. Maximum duration of apnea,minimum oxygen saturation]improvement. Results:There were no significant differences between PaCO2 and PaO2 levels,MMSE,ESS,MoCA score,AHI index value,minimum blood oxygen saturation,longest apnea time,total sleep time,and minimum oxygen saturation after treatment between the two groups before treatment (P>0.05). After treatment,the PaO2 level,MMSE,MoCA and ESS scores of the study group were higher than that of the reference group,the PaCO2 level was lower than that of the reference group,the AHI index was lower than that of the reference group,and the longest apnea time and total sleep time were also significantly shorter than that of the reference group (P<0.05). Conclusion:BIPAP non-invasive ventilator can effectively improve the arterial blood gas index,cognitive function and sleep status of the elderly patients with OSAHS,and can effectively improve the quality of life of the elderly patients.
BiPAP non-invasive ventilatorelderly OSAHScognitive functionsleep status