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目的总结持续正压通气(CPAP)治疗高血压合并阻塞性睡眠呼吸暂停综合征(OSAS)的疗效与护理体会。方法 30例高血压合并OSAS患者,夜间应用面罩CPAP治疗7 h,同时给予针对性护理干预。观察记录患者治疗前及治疗1周后多导睡眠监测(PSG)主要指标及血压的变化情况。结果治疗后,患者PSG检查主要指标明显优于治疗前,差异具有统计学意义(P<0.05)。治疗前,患者收缩压(SBP)为(167.85±8.68)mm Hg(1 mm Hg=0.133 kPa),舒张压(DBP)为(108.94±7.87)mm Hg;治疗后SBP为(137.88±7.54)mm Hg,DBP为(88.12±7.31)mm Hg;治疗后,患者血压明显低于治疗前,差异具有统计学意义(P<0.05)。结论 CPAP治疗OSAS疗效确切,治疗的同时给予针对性护理干预是提高临床治疗效果的重要保证。
Objective To summarize the curative effect and nursing experience of continuous positive pressure ventilation (CPAP) on hypertension combined with obstructive sleep apnea syndrome (OSAS). Methods Thirty patients with hypertension and OSAS were treated with masked CPAP at night for 7 hours. At the same time, targeted nursing intervention was given. Observe and record the change of main indexes of polysomnography (PSG) and blood pressure before treatment and 1 week after treatment. Results After treatment, the main indicators of PSG examination were significantly better than those before treatment, the difference was statistically significant (P <0.05). Before treatment, SBP was (167.85 ± 8.68) mm Hg (1 mm Hg = 0.133 kPa) and DBP was (108.94 ± 7.87) mm Hg. After treatment, the SBP was (137.88 ± 7.54) mm Hg, DBP was (88.12 ± 7.31) mm Hg; after treatment, the blood pressure was significantly lower than before treatment, the difference was statistically significant (P <0.05). Conclusion CPAP treatment of OSAS exact effect, while the treatment of targeted nursing intervention is to improve the clinical treatment of an important guarantee.