Dissertation > Excellent graduate degree dissertation topics show

The Research on Phlegm Damp OSAHS Patients’ Proper Pressure Level with Continuous Positive Airway Pressure

Author: ChenZuoYu
Tutor: WangWeiDong
School: Beijing University of Traditional Chinese Medicine
Course: Chinese medical science
Keywords: Phlegm damp OSAHS patients continuous positive airway pressure pressure level
CLC: R259
Type: Master's thesis
Year: 2008
Downloads: 21
Quote: 1
Read: Download Dissertation

Abstract


The research on Phlegm damp OSAHS patients’proper Pressure level with continuous positive airway pressureObject: Treat the Phlegm damp OSAHS patients with continuous positive airway pressure.Get a related calculation formula from these data, which can be used in the clinic practice.Method:To get 54 cases of Phlegm damp OSAHS patients from the sleep-department of Guang’anmen hospital from March, 2007 to March, 2008. The patients were diagnosed with PSG and Phlegm damp criteria. Then in the second night, we treated the patients with continuous positive airway pressure, and form a multivariate linear regression equation which can be used to calculate the pressure level( average pressure) with related data. Compare all kinds of pressure levels to the Hoffstein pressure level, and found that there is no significant difference between average pressure in our study and Hoffstein pressure level. All the statistics are analyzed by software SPSS13.0.Result:1. In 54 phlegm-damped OSAHS cases, severe OSAHS patients are about 68.51%, and severe nocturnal hypoxemia are 75.93%, severe obesity are 51.85%. Lowest oxygen, snore index are significantly correlated with AHI(p<0.01), and age are correlated with AHI(p<0.05).2. There is significant difference between the AHI before and after the treatment of continuous airway pressure (p<0.01), and the snore index is also differ greatly before and after the treatment of CPAP. The effect of this treatment is significant.3. The highest pressure, lowest pressure, and 95% effective pressure differ significantly to the pressure calculated by Hoffstein equation (p<0.01), however, there is no greatly difference between average pressure and Hoffstein pressure (p>0.05). 4. BMI, neck circumference, the lowest oxygen, AHI and snore index are correlated to average pressure (p <0.01).5. According to multivariate linear regression equation, we found that neck circumference, AHI, snore index are statistical significant.multivariate linear regression equation is as follows:average pressure of CPAP=0.220*neck circumference +0.036*AHI+0.001*snore index-3.746 95%effective pressure of CPAP= 5.393+0.690*average pressureConclusion: 1.This research selected 54 phlegm-damped OSAHS patients, and it is found out that the severe obesity of middle aged male take the major part, and most of them are severe OSAHS and severe nocturnal hypoxemia syndrome.2. AHI are significant correlated with the lowest oxygen, age, snore index, which indicated that we shall pay more attention to the snore. And the overweight middle aged men may have OSAHS easily than others.3. CPAP is effective to OSAHS patients, AHI and snore index decreased dramatically with the treatment of the CPAP.4. BMI, neck circumference, the lowest oxygen, and snore index significant correlate to average pressure, we can get the average pressure level by the multivariate linear regression equation.5. The treatments of OSAHS may vary from CPAP to traditional medicine, and the use of TCM might increase patients’compliance, and become the new choice for patients.

Related Dissertations

  1. Effects of obstructive sleep apnea hypopnea syndrome noninvasive mechanical ventilation treatment of stress factors,R56
  2. Studying the End Event of CPAP Therapy on Moderate-severe OSAHS Combining Cerebrovascular Disease,R743.3
  3. Explorating the Effects Which Point Embedding Therapy Combined with Chinese Herbal Medicine Treatment Will Make on Glycolipid Metabolism of Obese Women with PCOS,R271.9
  4. The Studies of Etiopathogenisis and Pathogenesis about Phlegm Obstruct the Uterus (3),R271.1
  5. Effects of Continuous Positive Airway Pressure Level on Respiratory Mechanics and Central Drive during Dynamic Hyperinflation,R563.9
  6. Study of the Relationship between Blood Pressure Variability and Plasma Angiotensin Ⅱ and Inflammatory Factors in Hypertensive Patients with Obstructive Sleep Apnea Hyponea Syndrome,R56
  7. Serum Adiponectin Levels in Hypertension Patients with Obstructive Sleep Apnea-hypopnea Syndrome,R56
  8. Obstructive sleep apnea syndrome and arrhythmia relevance and efficacy of nasal continuous positive airway pressure Discussion,R541.7
  9. Effect of Nasal Continuous Positive Airway Pressure Therapy on Insulin Resistance in Patients with Obstructive Sleep Apnea-hypopnea Syndrome,R56
  10. Nasal continuous positive airway pressure treatment of primary apnea in preterm children clinical observation,R722.6
  11. The Clinical Study of Related Factors Analysis for OSAS and Curative Effect of nCPAP on OSAS in Late Pregnancy Women,R766
  12. The Effect of nCPAP Treatment on the Blood Pressure and BNP in Hypertensives Complicated with OSAHS and EMBPS,R544.1
  13. Efficacy of Continuous Positive Airway Pressure Treatment to Resistant Hypertension in Patients with Obstructive Sleep Apnea Syndrome,R544.1
  14. Efficacy Assessment of Continuous Positive Airway Pressure Therapy on 24-Hour Ambulatory Blood Pressure in Patients with Moderate to Severe Obstructive Sleep Apnea-Hypopnea Syndrome,R56
  15. Study on Level and Significance of NF-κB and ICAM-1 Secreted by Peripheral Blood Mononuclear Cells in Obstructine Sleep Apnea Hypopnea Syndrome,R56
  16. Effects of Positive Airway Pressure Treatment on Pulmonary Artery Pressure in Patients with Severe Obstructive Sleep Apnea/hypopnea Syndrome,R56
  17. Changes and Implications of Plasma Ghrelin Level in Patients with Obstructive Sleep Apnea-hypopnea Syndrome Associated with Metabolic Syndrome,R589
  18. The Study of Antioxidant Capacity in Patients with Obstructive Sleep Apnea-hypopnea Syndrome,R56
  19. Study on the Effect of Nasal Continuous Positive Airway Pressure on Interleukin-6 in Serum of Patients with Obstructive Sleep Apnea Hypopnea Syndrome,R766
  20. Research on Expression of Adhesion Molecules CD15、CD11c and Production of Reactive Oxygen Species in Leukocytes of OSAHS,R766

CLC: > Medicine, health > Chinese Medicine > TCM Internal Medicine > Modern medicine, internal diseases
© 2012 www.DissertationTopic.Net  Mobile