摘要
目的:探讨肺源性心脏病合并睡眠呼吸暂停慢性心力衰竭患者治疗中应用双水平无创呼吸机治疗的医学价值。方法:选取2022年1月至2023年12月福建医科大学附属泉州第一医院心血管内科收治的肺源性心脏病合并睡眠呼吸暂停慢性心力衰竭患者60例作为研究对象,按照随机数字表法分为对照组和观察组,每组30例。对照组实施常规治疗,观察组增加双水平无创呼吸机治疗,比较2组效果。结果:观察组微觉醒指数和呼吸暂停指数均低于对照组,夜间最低血氧饱和度高于对照组,差异有统计学意义(P<0.05);而在多导睡眠监测指标上,观察组呼吸紊乱指数、氧减指数低于对照组,且平均血氧饱和度高于对照组,差异有统计学意义(P<0.05);而在整体睡眠质量上,观察组患者夜醒次数低于对照组,最长睡眠时间优于对照组,PSQI睡眠质量评分低于对照组,差异有统计学意义(P<0.05);治疗后观察组不良睡眠概率低于对照组,差异有统计学意义(P<0.05)。结论:采用双水平无创呼吸机治疗可改善肺源性心脏病合并睡眠呼吸暂停慢性心力衰竭患者睡眠暂停情况,且能够促使患者夜间呼吸节律规整,恢复正常的睡眠阶段,睡眠质量提高的同时嗜睡等不良睡眠情况有较大改善。
Objective:To evaluate the medical value of bi-level non-invasive ventilation in the treatment of with chronic heart failure complicated with pulmonary heart disease and sleep apnea.Methods:A total of 60 patients with chronic heart failure with the complication of pulmonary heart disease and sleep apnea who admitted in the hospital from January 2022 to December 2023 were enrolled and evenly divided into a control group and an observation group by random number table.The control group received routine treatment,while the observation group additional had bi-level non-invasive ventilation treatment.The results of indicators were observed and compared between the two groups.Results:After the treatment,the arousal index of the observation group was lower than that of the control group,the lowest blood oxygen saturation at night was higher than that of the control group,and the apnea index was lower than that of the control group,with statistically significant differences(P<0.05).In terms of polysomnography(PSG)indicators,the respiratory disturbance index and oxygen desaturation index of the observation group was lower than those of the control group,the average blood oxygen saturation was higher than that of the control group and differences between the two groups were statistically significant(P<0.05).For overall sleep quality,the wakefullness after sleep onset of patients in the observation group was better than that in the control group,the longest sleep duration was better than that in the control group,and the PSQI score was lower than that in the control group,with statistically significant differences(P<0.05).After the treatment,the incidence of poor sleep in the observation group was lower than that in the control group,showing that there was a significant difference(P<0.05).Conclusion:In the treatment of patients with heart failure combined with pulmonary heart disease and sleep apnea,the application of bi-level non-invasive ventilation can ease symptoms,promote regularization of the patients′nocturnal breathing rhythm,get back the normal sleep stages,and significantly improve sleep quality and control adverse sleep conditions such as sleepiness.
作者
许树林
XU Shulin(Department of Cardiovascular Medicine,Quanzhou First Hospital Affiliated to Fujian Medical University,Quanzhou 362000,China)
出处
《世界睡眠医学杂志》
2025年第4期779-782,共4页
World Journal of Sleep Medicine
关键词
肺源性心脏病
睡眠呼吸暂停
慢性心力衰竭
双水平无创呼吸机
睡眠质量
呼吸节律
嗜睡
氧减指数
Pulmonary heart disease
Sleep apnea
Chronic heart failure
Bi-level non-invasive ventilator
Sleep quality
Respiratory rhythm
Sleepiness
Oxygen desaturation index
