[0]无线远程监护对阻塞性睡眠呼吸暂停患者依从性和治疗效果影响的随机试验[A Stepnowsky,Carl J %A Palau,Joe J %A Marler,Matthew R %A Gifford,Allen L %+ VASDHS，卫生服务研究与发展服务(111N-1)， 3350 La Jolla Village Drive, San Diego, CA 92161, USA， +1 858 5552 8585 ext 5948，cstepnowsky@ucsd.edu %K持续气道正压治疗%K CPAP %K睡眠呼吸暂停综合征%K治疗依从性%K远程医疗%K随机对照试验%D 2007年5月17日背景:阻塞性睡眠呼吸暂停(OSA)是一种普遍和严重的医学病症，其特征是睡眠期间反复出现完全或部分上呼吸道阻塞，常见于2%至4%的工作中年成年人。鼻持续气道正压通气(CPAP)是OSA的金标准治疗方法。由于CPAP治疗的依从性低得令人失望，因此需要有效的干预措施来提高OSA患者的CPAP依从性。目的:目的是确定与常规临床护理相比，无线远程监测CPAP依从性和疗效数据是否能提高CPAP依从性和改善OSA结局。方法:将45例新诊断为OSA的患者随机分为远程监护临床护理组和常规临床护理组，并对其进行CPAP治疗的前2个月的随访。CPAP治疗师并未对参与者的治疗组进行盲测。结果:每组20名受试者接受指定干预。随机分配到远程监护临床护理组的患者平均每晚使用CPAP 4.1±1.8小时，而常规临床护理组的患者平均每晚使用2.8±2.2小时(P = 0.07)。远程监护患者在78%±22%的可能夜间使用CPAP，而常规护理患者在60%±32%的可能夜间使用CPAP (P = .07)。 No statistically significant differences between the groups were found on measures of CPAP efficacy, including measures of mask leak and the Apnea-Hypopnea Index. Patients in the telemonitored group rated their likelihood to continue using CPAP significantly higher than the patients in the usual care group. Patients in both groups were highly satisfied with the care they received and rated themselves as “not concerned” that their CPAP data were being wirelessly monitored. Conclusions: Telemonitoring of CPAP compliance and efficacy data and rapid use of those data by the clinical sleep team to guide the collaborative (ie, patient and provider) management of CPAP treatment is as effective as usual care in improving compliance rates and outcomes in new CPAP users. This study was designed as a pilot—larger, well-powered studies are necessary to fully evaluate the clinical and economic efficacy of telemonitoring for this population. %M 17513285 %R 10.2196/jmir.9.2.e14 %U //www.mybigtv.com/2007/2/e14/ %U https://doi.org/10.2196/jmir.9.2.e14 %U http://www.ncbi.nlm.nih.gov/pubmed/17513285

map