Study into the use of continuous positive airway pressure in obstructive sleep apnoea-hypopnoea syndrome patients with daytime drowsiness

被引:3
作者
Ribeiro Franco, Clelia Maria [1 ,2 ,3 ,4 ]
Bonanni, Juliana Cestaro [5 ]
Jaguaribe, Anna Myrna [6 ]
Ataide, Luiz, Jr. [7 ,8 ]
机构
[1] Univ Fed Sao Paulo, Escola Paulista Med, Sao Paulo, Brazil
[2] FIR, Docente Curso Especializacao Fisioterapia Neurofu, Pernambuco, Brazil
[3] UFPE, Hosp Clin, Pernambuco, Brazil
[4] FIR, Brazilian Soc Sleep, Pernambuco, Brazil
[5] Fisioterapeuta Fac Integrada Recife FIR, Recife, PE, Brazil
[6] Univ Sao Paulo, Docente Curso Fisioterapia, FIR, BR-05508 Sao Paulo, Brazil
[7] Univ Fed Pernambuco, Fac Ciencias Med, USP,Disciplina Neurol,Fac Med, Certificacao Neurofisiol Clin Pe SBNFC & Med Son, Recife, PE, Brazil
[8] Univ Fed Pernambuco, Fac Ciencias Med, USP,Brazilian Soc Sleep,Fac Med, Certified Clin Neurophys,SBNFC & Sleep Med, Recife, PE, Brazil
关键词
Obstructive sleep apnoea; sleep apnoea; continuous positive airway pressure; daytime sleepiness; epworth sleepiness scale; polysomnography; treatment; THERAPY;
D O I
10.1016/S0873-2159(15)30128-8
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Background: Obstructive sleep apnoea-hypopnoea syndrome (OSAHS) is a respiratory disorder with high morbidity and mortality. Continuous positive airway pressure (CPAP) is the most commonly prescribed conservative treatment for adults with OSAHS. CPAP therapy normalises or decreases OSAHS symptoms and can reduce and prevent OSAHS complications. Aims: To evaluate adherence to nasal CPAP treatment and CPAP impact on daytime drowsiness. Method: A sample of 20 patients evaluated for daytime drowsiness using the Epworth sleepiness scale and interviewed for adherence to nasal CPAP use. Results: There was a significant decrease in the level of daytime sleepiness of the patients users of nasal CPAP (p=0.017); patients not using nasal CPAP experienced a decrease without statistical significance (p=0.162). 100% of CPAP users reported benefits and 50% of these reported related discomforts. Conclusions: Patients with OSAHS that use CPAP have a greater reduced level of sleepiness than those who do not use it.
引用
收藏
页码:215 / 226
页数:12
相关论文
共 25 条
[1]  
[Anonymous], 2005, INT CLASSIFICATION S
[2]   Health status in obstructive sleep apnea - Relationship with sleep fragmentation and daytine sleepiness, and effects of continuous positive airway pressure treatment [J].
Bennett, LS ;
Barbour, C ;
Langford, B ;
Stradling, JR ;
Davies, RJO .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1999, 159 (06) :1884-1890
[3]  
Bittencourt Lia Rita Azeredo, 2005, Rev. Bras. Psiquiatr., V27, P16, DOI 10.1590/S1516-44462005000500004
[4]  
BOARI, 2004, REV BRAS OTORRINOLAR, P70
[5]   Chronic Hypersomnia [J].
Dauvilliers, Yves ;
Billiard, Michel .
SLEEP MEDICINE CLINICS, 2006, 1 (01) :79-+
[6]   Long-term effects of nasal continuous positive airway pressure therapy on cardiovascular outcomes in sleep apnea syndrome [J].
Doherty, LS ;
Kiely, JL ;
Swan, V ;
McNicholas, WT .
CHEST, 2005, 127 (06) :2076-2084
[7]  
Figueiredo Adelaide Cristina de, 2004, J. bras. pneumol., V30, P535, DOI 10.1590/S1806-37132004000600008
[8]   DETERMINANTS OF DAYTIME SLEEPINESS IN OBSTRUCTIVE SLEEP-APNEA [J].
GUILLEMINAULT, C ;
PARTINEN, M ;
QUERASALVA, MA ;
HAYES, B ;
DEMENT, WC ;
NINOMURCIA, G .
CHEST, 1988, 94 (01) :32-37
[9]  
Heitman S J, 2001, Respir Care, V46, P1418
[10]   Positive airway pressure therapy of OSA [J].
Hirshkowitz, M ;
Sharafkhaneh, A .
SEMINARS IN RESPIRATORY AND CRITICAL CARE MEDICINE, 2005, 26 (01) :68-79