Role Of Sleep Apnea Monitoring Management Platform In The Treatment Of Patients With Obstructive Sleep Apnea Hypopnea Syndrome

Objective To investigate the clinical significance and value of the sleep apnea monitoring management platform in the treatment of patients with obstructive sleep apnea hypopnea syndrome(OSAHS)by comparing with the traditional continuous positive airway pressure(CPAP)card reader mode.Methods A total of 48 severe adult OSAHS patients from Department of Otorhinolaryngology Head and Neck Surgery-Sleep Medical Center of the Third People's Hospital of Honghe during the period of Nov.2015 to Aug.2016 were collected in this prospective study.All of them were diagnosed by PSG and treated with nasal continuous positive airway pressure.They were randomly divided into group A(n = 24)and group B(n = 24).Group A and B were treated with the traditional CPAP card reader mode and the sleep apnea monitoring management platform respectively.During the follow-up,the compliance,mean blood oxygen saturation,titration pressure,Epworth sleepiness scale after 1,3,6 and 12 month treatment were compared between two groups.T-test was used to analyze the difference.Statistical significance was set at p<0.05.Results In the compliance of wearing CPAP,the patients in group A used CPAP for 20.00 ± 2.53 days,19.20 ± 2.10 days,16.75± 2.17 days and 14.41 ± 2.66 days in first,third,6th and 12th months respectively.And In group B,they were 24.37 ± 3.06 days,23.04 ± 3.25 days,21.70 ± 2.64 days,26.70 ± 2.45 days in first,third,6th and 12th months respectively.During the treatment,the mean blood oxygen saturation in group A were 89.70 ± 2.25%,85.95± 3.34%,86.87 ± 3.28%,86.20 ± 2.53%after 1,3,6 and 12 month treatment respectively,that in group B were 87.83 ± 2.29%,90.08± 2.44%,91.70 ± 2.61%,91.95 ± 2.57%respectively.In the titration pressure in group A were 7.37 ± 1.34 hPa,7.50 ± 1.41 hPa,7.08 ± 1.41 hPa,7.08 ± 1.21 hPa after 1,3,6 and 12 month treatment respectively,and that in group B were 7.54±1.14 hPa,7.54 ± 1.21 hPa,7.12 ± 1.32 hPa,7.13 ± 1.09 hPa respectively.In OSAHS patients for the Epworth sleepiness scale score after treatment,A group of 1,3,6,12 months were 14.66±1.34?11.54± 1.95?11.45±1.81?11.16±2.14,group B 1,3,6 and 12 months respectively:10.91 ±1.88?9.33± 1.97?7.79±1.55?8.00±1.64.Statistical analysis showed that there were significant difference in the compliance of using CPAP,mean blood oxygen saturation and Epworth sleepiness scale score between the two groups(p<0.05),but the titration pressure had no difference between the two groups.Conclusion Compared the sleep apnea monitoring management platform with traditional CPAP card reader mode in the treatment of OSAHS patients,the former could solve the problems during the CPAP use in time,improve the compliance of using CPAP,and which could increase the efficacy of CPAP.Thus,the sleep apnea monitoring management platform is of more clinical value and deserve promotion.