阻塞性睡眠呼吸暂停患者颈围与持续气道正压的相关性

Faisal Asad, A. Sahito, F. Rahman, Madiha Moin, Ubedullah ., S. Rahman
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摘要

目的:探讨阻塞性睡眠呼吸暂停(OSA)患者颈围(NC)与持续气道正压通气(CPAP)的关系,并根据颈围评估持续气道正压通气的需求。材料和方法:本研究在卡拉奇陶氏大学医院肺、血管和睡眠障碍科进行。这项研究从2022年1月到2022年6月进行了六个月。所有患有阻塞性睡眠呼吸暂停(OSA)的患者,年龄在18岁至60岁之间,男女均接受CPAP治疗。利用多导睡眠图数据库对阻塞性睡眠呼吸暂停低通气指数进行分析。在每个参与者的颈部中部测量颈围。颈围与CPAP治疗相关。采用结构化研究形式收集所有数据。结果:共对181例OSA患者进行了研究。患者平均年龄52.86+12.26岁,平均颈围43.45+3.58 cm。男性占58.0%,女性占42.0%。重度OSA占多数,占56.4%。颈围与CPAP呈显著正相关(r= 0.177, p值0.017),颈围与CPAP呈显著正相关(r= 0.366, p值0.001)。与OSA严重程度相关的CPAP平均压力较高(p-0.0001)。结论:颈围是与CPAP治疗显著正相关的最可靠的标志物,仅通过AHI测量OSA及其严重程度似乎与CPAP治疗呈正相关。然而,OSA的评估和治疗可以根据他们的颈围来衡量他们对CPAP的反应性。关键词:OSA, NC, CPAP,关系
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Correlation between Neck Circumference and Continuous Positive Airway Pressure among Patients of Obstructive Sleep Apnea
Objective: To investigate the relationship between neck circumference (NC) and continuous positive airway pressure (CPAP) in patients with obstructive sleep apnea (OSA), as well as to assess CPAP requirements based on the neck circumference. Material and methods: This study was carried out in the pulmonary, vascular, and sleep disorders department of the Dow University Hospital in Karachi. The study was done for six months of duration from January 2022 to June 2022. All of the patients who had obstructive sleep apnea (OSA), between the ages of 18 and 60 years, both genders and underwent CPAP therapy were chosen for this study. The polysomnography database was utilized in order to do an analysis on the Apnea-Hypopnea Index for the OSA. Neck circumference was measured at the neck’s middle sit in every participant. The neck circumference was correlated with the CPAP therapy. The structured study proforma was used to collect all the data. Results: A total of 181 individuals who presented with OSA were studied. Mean age of the cases were 52.86+12.26 years and mean neck circumference was 43.45+3.58 cm. Males were 58.0% and females were 42.0%. Majority of the cases 56.4% had severe OSA. There was a strong significant positive correlation between neck circumference and CPAP (r= 0.177, p-value 0.017) and significant positive correlation between neck circumference and CPAP (r= 0.366, p-value 0.001). Average of CPAP pressure was significantly high according to severity of OSA (p-0.0001). Conclusion: The neck circumference was observed to be the most reliable marker that significantly positively correlated with CPAP therapy and measurements of OSA and its severity, by AHI alone, seem to have a positive correlation with CPAP therapy. However, OSA evaluation and treatment can be measured for their responsiveness to CPAP based on their neck circumference. Keywords: OSA, NC, CPAP, Relationship
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