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首页> 外文期刊>Internal medicine journal >Routine use of humidification with nasal continuous positive airway pressure.
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Routine use of humidification with nasal continuous positive airway pressure.

机译:鼻腔持续正压通气常规使用加湿。

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摘要

BACKGROUND: Heated humidification can reduce nasal symptoms caused by continuous positive airway pressure (CPAP) treatment, but its routine use has not been studied over the medium term in a randomized controlled trial. The aim of this study is to determine if heated humidification would reduce nasal symptoms and improve adherence with CPAP treatment in all patients with sleep apnoea irrespective of whether they had nasal symptoms initially. METHODS: A randomized, parallel group design. Patients were treated for 3 months with a Fisher & Paykel HC201 pump with built-in heated humidification, or with the heater disabled and without water. Adherence was measured with a timer built into the pumps. Nasal symptoms were measured with a 10-cm visual analogue scale. RESULTS: There were 25 in the humidification group and 29 in the non-humidification group. After 12 weeks mean (standard deviation) adherence with CPAP was 4.7 (2.4) and 4.5 (2.2) hours per night respectively. Nasal symptoms that were reduced were nose blocked* 6 (12), 18 (26); sneezing* 4 (8), 15 (25); dry nose* 8 (12), 24 (33); stuffy nose* 7 (14), 22(31); dry mouth* 13 (18), 33(36); and runny nose* 6 (17), 14 (29). Parameters marked with an asterisk '*' had P < 0.05 with t-tests. CONCLUSION: The routine use of heated humidification with CPAP in all patients with sleep apnoea reduced nasal symptoms, but did not improve adherence.
机译:背景:加热加湿可以减轻由持续气道正压通气(CPAP)治疗引起的鼻部症状,但在中期的随机对照试验中尚未研究其常规使用。这项研究的目的是确定加热加湿是否可以减轻所有睡眠呼吸暂停患者的鼻部症状并改善CPAP治疗的依从性,而不论他们最初是否具有鼻部症状。方法:随机,平行分组设计。使用内置加热加湿器或禁用加热器且无水的Fisher&Paykel HC201泵对患者进行了3个月的治疗。用泵中内置的计时器测量附着力。鼻症状用10厘米的视觉模拟量表测量。结果:加湿组有25例,非加湿组有29例。经过12周后,CPAP的平均依从性(标准差)分别为每晚4.7(2.4)和4.5(2.2)小时。减轻的鼻部症状是鼻子阻塞* 6(12),18(26);打喷嚏* 4(8),15(25);鼻子干* 8(12),24(33);鼻塞* 7(14),22(31);口干* 13(18),33(36);流鼻涕* 6(17),14(29)。带有星号“ *”的参数在t检验中的P <0.05。结论:在所有睡眠呼吸暂停患者中常规使用加湿加CPAP可以减轻鼻部症状,但并不能改善依从性。

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