[Effect of cpap therapy on sleep quality in patients with OSAS].

Autor:	Mihai V; Spitalul Clinic de Pneumologie Iaşi, Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi, Facultatea de Medicină., Rusu G, Mihăescu T
Jazyk:	Romanian; Moldavian; Moldovan
Zdroj:	Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi [Rev Med Chir Soc Med Nat Iasi] 2010 Apr-Jun; Vol. 114 (2), pp. 367-71.
Abstrakt:	Unlabelled: For an adequate analysis of sleep quality was assessed a new composed index wich objectively approached variate polisomnographic parameters. We used this new concept--sleep disturbances index-SDI in patients with obstructive sleep apnea (OSAS), before and after the beginning of CPAP therapy. Material and Method: 41 patients were evaluated and for each one we calculated SDI score. All patients were split in two groups according with apnea-hipopnea index (AHI), and we correlated SDI with AHI as marker of severity of the disease and with Epworth Sleepiness Scale's scores, as an subjective evaluation. After 1 month of CPAP therapy, SDI was reevaluated. Results: SDI is correlating with the severity of the disease: for group 1, with 5 < AHI < 15, SDI= 2.24 +/- 0.88, r = 0.53, p < 0.01 and for group 2, with AHI >15, SDI = 3.23 +/- 0.69, p < 0.01, r = 0.46. There was no significant correlation between SDI and ESS scores (r = 0.23, p < 0.01). SDI lowers significant during CPAP therapy: SDI= 1.48 +/- 0.60, respectiv SDI = 1.90 +/- 1.23. Conclusion: The severity of OSAS is correlated with increased SDI, but can be seen interindividual variability. The effect of CPAP therapy is reflecting also in sleep quality.
Databáze:	MEDLINE
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