Frequência dos distúrbios respiratórios do sono em portadores de doença pulmonar obstrutiva crônica
DOI:
https://doi.org/10.46919/archv4n3-003Keywords:
Doença Pulmonar Obstrutiva Crônica, apneia obstrutiva do sono, síndromes da apneia do sono, qualidade de vida, sintomas noturnosAbstract
Introdução: A Doença Pulmonar Obstrutiva Crônica (DPOC) associada aos distúrbios respiratórios do sono (DRS) afeta a qualidade de vida (QV). Objetivo: Avaliar a frequência DRS e a coexistência da sobreposição DPOC e Apneia Obstrutiva Crônica (DPOC+SAOS). Métodos: Estudo transversal com 13 pacientes DPOC. Variáveis analisadas: clínicas; QV; DRS [Qualidade de Sono de Pittsburgh-PSQI; Questionário de Berlim-QB, Escala de Sonolência Epworth-ESE e de Mallampati, exame domiciliar do sono-ApneaLink Plus (índice de apneia/hipopneia-IAH; índice de dessaturação oxigênio-IDO)]. Resultados: 9 homens, 63,8±6,2anos, IMC=26,9±8Kg/m2, Mallampati-classe IV n=10. IAH=30,5±17,8 eventos/hora, IDO elevado (28,6±18,5 eventos/hora), tempo de SpO2 T≤90%= 79(1–450) minutos. ruim qualidade de sono (n=10) e DRS (n=3). Correlações: IAH vs idade (r=0,800; p=<0,001); IAH vs IMC (r=0,640; p=0,018); IDO vs idade (r=0,640; p=0,019); IDO vs IMC (r=0,635; p=0,010); PSQI vs ESE (r=0,635; p=0,020); PSQI vs QV (r=0,615; p=0,025). Conclusão:DPOC+SAOS coexistem nestes pacientes, com comprometimento da QS e SpO2, e pior QV.
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