pulmoПульмонологияPULMONOLOGIYA0869-01892541-9617Scientific and Practical Journal “PULMONOLOGIYA” LLC10.18093/0869-0189-2012-0-2-82-85pulmo-52Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL STUDIESПриемлемость и комплаентность к CPAP-терапии у больных с синдромом обструктивного апноэ снаAcceptability of and compliance to CPAP therapy in patients with obstructive sleep apnea syndromeПетросянМ. А.PetrosyanM. A.

к. м. н., зав. лабораторией сна 

0014, Республика Армения, Ереван, ул. Г. Нерсесяна, 19. Тел.: +374-93-34-35-59; факс: +374-10-24-20-23.

laboratory-sleep@yahoo.comНариманянМ. З.NarimanyanM. Z.

д. м. н., проф.; зав. кафедрой семейной медицины 

0025, Республика Армения, Ереван, ул. Корюна, 2. Тел.: +374-91-40-58-54.

vice-reform@ysmu.amНаучно-медицинский центр "Сурб Нерсес Мец"ArmeniaЕреванский государственный медицинский университет им. М. ГерациArmenia201228042012028285Copyright © Петросян М.А., Нариманян М.З., 20122012Петросян М.А., Нариманян М.З.Petrosyan M.A., Narimanyan M.Z.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.pulmonology.ru/pulm/article/view/52

Резюме. Цель исследования заключалась в выявлении приемлемости и комплаентности к CPAP-терапии у больных с синдромом обструктивного апноэ сна (СОАС) в Армении. Диагностика СОАС проводилась с помощью портабельного монитора с регистрацией храпа, воздушного потока через нос, сатурации и пульса. CPAP-терапия была предложена 39 больным (из них – 36 мужчин) со средней и тяжелой формами СОАС (индекс апноэ-гипопноэ – ИАГ – ≥ 15), среди которых 20 пациентов прошли титрацию лечебного давления и пробный курс CPAP-терапии. Комплаентность к CPAP-терапии оценивалась посредством объективного комплаенса. После пробного курса 14 мужчин (35,6 %) согласились на долгосрочную CPAP-терапию. Они отличались от больных, отказавшихся от CPAP-терапии, по величине ИАГ (74,5 ± 22,6 vs 41,7 ± 28,4; p < 0,001), индексу десатурации (70,3 ± 22,6 vs 37,6 ± 24,5; p < 0,001) и шкале сонливости Epworth (20,7 ± 4,2 vs 14,7 ± 7,5; p < 0,01). Средняя комплаентность к лечению составила 83 %. Результаты исследования выявили низкую приемлемость и высокую комплаентность к CPAP-терапии у больных с СОАС в Армении.

Summary. The study was aimed at determination of acceptability of and compliance to CPAP among Armenians with obstructive sleep apnea syndrome (OSAS). A portable recording device was used to diagnose OSAS. Snoring, nasal flow, oxygen saturation and pulse rate were recorded. Thirty nine patients with moderate to severe OSAS (AHI ≥ 15) were offered CPAP therapy, of them, 20 patients agreed to undergo a pressure titration and night trial with CPAP. A card embedded in the CPAP device electronically recorded compliance. After night trial, 14 males (35.6 %) were administered long-term CPAP therapy. Significant difference between “acceptors“ and “refusers“ was found in AHI (74.5 ± 22.6 vs 41.7 ± 28.4; p < 0.001), oxygen desaturation index (70.3 ± 22.6 vs 37.6 ± 24.5; p < 0.001) and Epworth Sleepiness Scale (20.7 ± 4.2 vs 14.7 ± 7.5; p < 0.01). The mean compliance to CPAP therapy was 83 %. The study revealed low acceptability of and high compliance to CPAP therapy among Armenians with OSAS.

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The authors declare that there are no conflicts of interest present.