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Impact of Mask Type on the Effectiveness of and Adherence to Unattended Home-Based CPAP Titration

机译：面膜类型对无人看管家庭CPAP滴定的有效性和遵守的影响

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Objectives. To compare interfaces performance during home-based automatic titration (APAP). Methods. Retrospective study based on APAP titration from Obstructive Sleep Apnea Syndrome (OSA) patients. Results. 707 patients, 513 men (70.6%), were titrated. Masks were 104 pillows (14.7%), group I (GI); 532 nasal (75.2%), group II (GII); and 71 oronasal masks (10%), group III (GIII). We found differences in effective pressure to the device (P90/P95) (GI: 7.13±1.9 vs. GII: 8.3±2.1 vs. GIII: 9.3±2.6 cmH2O, p 0.001) but not in final pressure titrated manually (GI: 7.9±1.4 vs. GII: 8.6±1.6 vs. GIII: 9.2±1.9 cm of H2O, p 0.5), where lower residual AHI for pillows was p 0.001 and leaks for nasal were p 0.001. No differences were found in compliance (hours) (GI: 6.3±1.2 vs. GII: 6.2±1.1 vs. GIII: 6.1±1.0, p 0.4). Conclusion. During auto-adjusting titration by CPAP-na?ve patients, nasal masks had lower leak rates and nasal pillows presented a similar performance.
机译：目标。在基于家庭的自动滴定（APAP）期间比较界面性能。方法。基于APAP滴定来自阻塞性睡眠呼吸暂停综合征（OSA）患者的回顾性研究。结果。滴定707例，513名男性（70.6％）。面膜是104个枕头（14.7％），I组（GI）; 532鼻（75.2％），II组（GII）;和71个Oronasal Masks（10％），III组（GIII）。我们发现对设备有效压力的差异（P90 / P95）（GI：7.13±1.9与GII：8.3±2.1与GIII：9.3±2.6cmH2O，P <0.001）但不在手动滴定的最终压力（GI： 7.9±1.4与GII：8.6±1.6 vs.GIII：9.2±1.9厘米H2O，P> 0.5），其中枕头的较低残留AHI为P <0.001，鼻腔泄漏为P <0.001。依从性（小时）没有发现差异（GI：6.3±1.2与GII：6.2±1.1 Vs.GIII：6.1±1.0，P <0.4）。结论。在CPAP-NA'VE患者自动调整滴定期间，鼻面罩具有较低的泄漏速率和鼻枕提出了类似的性能。

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