Factors Related To OSAHS With Hypertension And Compliance Survey Analysis And Management Strategies

Objective:Analysis of obstructive sleep apnea and clinical characteristics of patients with hypertension hypopnea syndrome, provide a reference for clinical practice. And the use of the ventilator patient follow-up survey to find relevant factors affecting adherence.Methods:Will clear diagnosis of OSAHS with hypertension patients (group1)have70cases of patients;simple hypertension (group2)have42cases and OSAHS alone (group3)have44cases clinical features were analyzed and were compared between groups.Results:1.The comparision of three groups in general, between group1and group2comparison was statistically significant in terms of BMI, the rest have no statistical significance.2.In terms of PSG monitoring,blood lipids and Epworth sleepiness scale (ESS),group1is different with group2in snoring index, morning blood pressurea and bedtime blood-pressure has no difference, the rest all have differences.group1than group3in the lowest oxygen saturation in the night, ESS, systolic blood pressure and diastolic blood pressure early morning has difference, the remaining aspects are with little difference.3.In terms of clinical symptoms and blood lipids, group1than group2are different in terms of snoring,night urination, daytime drowsiness, memory loss and hyperlipidemia, but the proportion of group1is much higher than group3under snoring aspects, other are no difference.4.In the aspect of complications,the three groups are not very different under history of diabetes mellitus and hyperlipidemia, the proportion of group2is more higher than group1under the history of heart disease.5.In terms of compliance, intermittent use of continuous positive airway pressure (continuous positive airway pressure, CPAP) and the reasons for trouble,the job is busy and often on a business trip to compliance influential;The reason has never been used in other ways CPAP treatment and unnecessary use of the percentage of patients feel that the ratio is high.ESS score after treatment is an important factor in the use of CPAP adherence multivariate analysis.After comparing the correlation of the parameters, the extent of disease in patients, awareness of the disease, for CPAP can improve sleep quality, improve early morning headaches, and improve the quality of daily life for various reasons,disable CPAP patient compliance have a certain influence.Conclusion:In this paper, the clinical symptoms between the three groups of patients were statistically analyzed and summarized to provide a better reference for clinical diagnosis and treatment, and patient compliance through the use of a ventilator correlation analysis, thereby improving patient adherence to treatment using a breathing machine resistance, the prognosis of patients have a significant impact.