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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.47 no.2 São Paulo June 1989

http://dx.doi.org/10.1590/S0004-282X1989000200004 

NCPAP for the treatment of obstructive sleep apnea

 

Tratamento da apnéia obstrutiva do sono pelo NCPAP

 

 

Ademir Baptista SilvaI; Hélio LemmiII

IFrom Baptist Memorial Hospital Sleep Disorders Center (Memphis): Fellow from Escola Paulista de Medicina (São Paulo) with grant from CNPq
IIFrom Baptist Memorial Hospital Sleep Disorders Center (Memphis): Director of Sleep Disorders Center

 

 


SUMMARY

Nasal continuous positive airway pressure (NCPAP) represents a real advance in the management of obstructive sleep apnea (OSA). Our data show that except for awakenings, all sleep and respiratory parameters were significantly improved (p<0.05) in favor of the group treated with NCPAP. A main problem with NCPAP is the acceptance by the patient; it also may disturb the sleep, at least, on short term basis and, in a small number of patients, it does not correct the apneas. In our patients series, males responded better to NCPAP than females.


RESUMO

O tratamento da apnéia obstrutiva do sono pelo NCPAP (pressão positiva contínua nasal) vem se tornando rotina, pois este tratamento substitui a traqueostomia em muitos casos. O NCPAP, às vezes, não é tolerado pelo paciente, constituindo este fato um óbice ao seu uso mais abrangente. De maneira geral, todos os índices da polissonografia mostraram modificações estatisticamente significantes, exceto para o número de despertares completos. Este fato indica que os parâmetros que avaliam a qualidade do sono não seguem aqueles que avaliam a função respiratória em alguns pacientes. Em pequeno número de pacientes, esta modalidade de tratamento não funciona. Por outro lado, nossos dados revelaram que os pacientes do sexo masculino respondem melhor ao NCPAP que os do sexo feminino e que o quadro da apnéia é mais grave no grupo feminino, aparecendo mais precocemente. Estes dados são preliminares e foram obtidos para uma amostra pequena, necessitando de confirmação em uma série maior de pacientes.


 

 

Full text available only in PDF format.

Texto completo disponível apenas em PDF.

 

 

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Sleep Disorders Center, Baptist Memorial Hospital - 899 Madison Avenue - Memphis, TN 38146 - USA.

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