중증 폐쇄성 수면무호흡증에서 자동형 양압기와 고정형 양압기 치료의 비교 분석

조일녕; 김화빈; 이근익; 김성동; 문수진; 조규섭

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자료유형: 학술저널

저자정보: 조일녕 김화빈 이근익 김성동 문수진 조규섭

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제63권 제3호

발행연도: 2020.1

수록면: 108 - 113 (6page)

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Background and Objectives The purposes of this study were to compare the purchase rateand adherence regarding the use of two machines, continuous positive airway pressure (CPAP)and automatic positive airway pressure (APAP), and to determine associated factors affecting thepurchase rate and adherence of PAP in the treatment of severe obstructive sleep apnea (OSA). Subjects and Method From March 2016 to December 2017, 45 patients diagnosed with severeOSA by polysomnography were enrolled in this study. Patients were prescribed CPAP orAPAP by one doctor and allowed to decide whether to purchase the machine after a one-monthlease period, which was identified as the purchase rate. Adherence was identified as using themachine 4 h/night on 70% of nights following the PAP therapy of three months. Results The adherence rate of CPAP (84%) was statistically and significantly higher than APAP(55%) (p=0.033). However, there was no significant difference in the adherence rate betweenCPAP (76%) and APAP (63%). The mean pressure and 95th percentile leak were 8.62 cm H2Oand 12.97 L/min in the CPAP and 10.55 cm H2O and 20.36 L/min in the APAP, respectively. Themean pressure and 95th percentile leak were significantly lower in CPAP than in APAP (p=0.010and p=0.014, respectively). Conclusion Although adherence was not significantly different, the purchase rate was significantlyhigher in the fixed CPAP than in APAP, which may have been influenced by high pressureand leak patients experienced when using the particular PAP machine.

참고문헌 (30)

참고문헌 신청

Partinen M / 1990 / Daytime sleepiness and vascular morbidity at seven-year follow-up in obstructive sleep apnea patients / Chest 97(1):27~32

Kales A / 1985 / Severe obstructive sleep apnea--II: Associated psychopathology and psychosocial consequences / J Chronic Dis 38(5):427~434

김효열 / 2014 / 지속적상기도양압술의 순응도에 영향을 미치는 인자들 / 대한이비인후-두경부외과학회지 57(1):7~14

Nieto FJ / 2000 / Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study. Sleep Heart Health Study / JAMA 283(14):1829~1836

Kim J / 2004 / Prevalence of sleep-disordered breathing in middle-aged Korean men and women / Am J Respir Crit Care Med 170(10):1108~1113

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