Artigo Original/Original Article
Estudo sobre o impacto do uso de aparelho de emissão de pressão positiva contínua nas vias aéreas superiores na hipersonia diurna em portadores da síndroma de apneia do sono
Study into the use of continuous positive airway pressure in obstructive sleep apnoea-hypopnoea syndrome patients with daytime drowsiness
1 Neurologista e mestre em Neurologia pela Escola Paulista de Medicina – UNIFESP – São Paulo – Brasil; Certificação em Medicina do Sono pela Sociedade Brasileira do Sono, docente do curso de Especialização em Fisioterapia Neurofuncional da Faculdade Integrada do Recife – FIR – Pernambuco – Brasil, Supervisora da Residência Médica em Neurologia do Hospital da Clínicas – UFPE – Pernambuco -Brasil;/ MsC in Neurology, Escola Paulista de Medicina – UNIFESP – São Paulo– Brazil; Certified in Sleep Medicine, Brazilian Society of Sleep; Course Tutor, Specialisation in Neurofunctional Physiotherapy, Faculdade Integrada do Recife –FIR– Pernambuco– Brazil; Supervisor, internship in Neurology. Hospital da Clínicas – UFPE – Pernambuco -Brazil;
2 Fisioterapeuta pela Faculdade Integrada do Recife – FIR – Brasil / Physiotherapist, Faculdade Integrada do Recife – FIR – Brazil
3 Docente do curso de Fisioterapia da Faculdade Integrada do Recife – FIR. Doutora em Ciências pela Universidade de São Paulo – USP – Brasil./ Course Tutor, Physiotherapy, Faculdade Integrada do Recife – FIR; PhD in Science, Universidade de São Paulo – USP – Brazil;
4 Doutor em Neurologia pela Faculdade de Ciências Médicas da USP – Ribeirão Preto, Certificação em Neurofisiologia Clínica pela SBNFC e Medicina do Sono pela Sociedade Brasileira do Sono; Professor Adjunto da disciplina de Neurologia da Faculdade de Medicina da UFPE – Brasil / PhD in Neurology, Faculdade de Ciências Médicas da USP – Ribeirão Preto, Certified in Clinical Neurophysiology, SBNFC and Sleep Medicine, Brazilian Society of Sleep; Associate Professor, Neurology, Faculdade de Medicina da UFPE – Brazil
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Specialisation in Neurofunctional Physiotherapy, Faculdade Integrada do Recife –FIR– Pernambuco– Brazil; Supervisor, internship in Neurology. Hospital da Clínicas – UFPE – Pernambuco -Brazil;" "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Fisioterapeuta pela Faculdade Integrada do Recife – FIR – Brasil / Physiotherapist, Faculdade Integrada do Recife – FIR – Brazil" "etiqueta" => "2" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Docente do curso de Fisioterapia da Faculdade Integrada do Recife – FIR. Doutora em Ciências pela Universidade de São Paulo – USP – Brasil./ Course Tutor, Physiotherapy, Faculdade Integrada do Recife – FIR; PhD in Science, Universidade de São Paulo – USP – Brazil;" "etiqueta" => "3" "identificador" => "af0015" ] 3 => array:3 [ "entidad" => "Doutor em Neurologia pela Faculdade de Ciências Médicas da USP – Ribeirão Preto, Certificação em Neurofisiologia Clínica pela SBNFC e Medicina do Sono pela Sociedade Brasileira do Sono; Professor Adjunto da disciplina de Neurologia da Faculdade de Medicina da UFPE – Brasil / PhD in Neurology, Faculdade de Ciências Médicas da USP – Ribeirão Preto, Certified in Clinical Neurophysiology, SBNFC and Sleep Medicine, Brazilian Society of Sleep; Associate Professor, Neurology, Faculdade de Medicina da UFPE – Brazil" "etiqueta" => "4" "identificador" => "af0020" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Study into the use of continuous positive airway pressure in obstructive sleep apnoea-hypopnoea syndrome patients with daytime drowsiness" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-07-17" "fechaAceptado" => "2008-12-12" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570436" "palabras" => array:7 [ 0 => "Apneia do sono tipo obstrutiva" 1 => "apneia do sono" 2 => "pressão positiva em vias aéreas" 3 => "sonolência excessiva diurna" 4 => "escala de sonolência de Epworth" 5 => "polissonografia" 6 => "tratamento" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570435" "palabras" => array:7 [ 0 => "Obstructive sleep apnoea" 1 => "sleep apnoea" 2 => "continuous positive airway pressure" 3 => "daytime sleepiness" 4 => "epworth sleepiness scale" 5 => "polysomnography" 6 => "treatment" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdução:</span> A síndroma da apneia-hipopneia obstrutiva do sono (SAHOS) é um distúrbio respiratório de elevada morbimortalidade. A terapia com pressão positiva contínua das vias aéreas (CPAP) representa o tratamento conservador mais prescrito para a SAHOS e tem o intuito de restabelecer a patência das vias aéreas, normalizando o índice de eventos respiratórios obstrutivos, corrigindo os sintomas.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivo:</span> Avaliar o impacto do uso do CPAP nasal sobre a hipersonia diurna em portadores de SAHOS.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Método:</span> Amostra de vinte doentes portadores de SAHOS diagnosticados por estudo de polissonografia de noite inteira, usuários ou não de CPAP nasal, todos avaliados quanto à hipersonia diurna através da escala de sonolência de Epworth.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados:</span> O decréscimo do nível de sonolência diurna dos usuários de CPAP nasal foi significante (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,017), enquanto para não usuários de CPAP nasal a média do mesmo diminuiu sem significância estatística (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,162). Quanto à adesão à terapia com CPAP, 100% dos usuários relataram benefícios e, destes, 50% referiram desconfortos durante o uso.</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusões:</span> Portadores de SAHOS usuários do CPAP nasal têm o seu nível de hipersonia diurna diminuído em relação àqueles que não o utilizam.</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (2): 215-226</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Background:</span> Obstructive sleep apnoea-hypopnoea syndrome (OSAHS) is a respiratory disorder with high morbidity and mortality. Continuous positive airway pressure (CPAP) is the most commonly prescribed conservative treatment for adults with OSAHS. CPAP therapy normalises or decreases OSAHS symptoms and can reduce and prevent OSAHS complications.</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Aims:</span> To evaluate adherence to nasal CPAP treatment and CPAP impact on daytime drowsiness.</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Method:</span> A sample of 20 patients evaluated for daytime drowsiness using the Epworth sleepiness scale and interviewed for adherence to nasal CPAP use.</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results:</span> There was a significant decrease in the level of daytime sleepiness of the patients users of nasal CPAP (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.017); patients not using nasal CPAP experienced a decrease without statistical significance (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.162). 100% of CPAP users reported benefits and 50% of these reported related discomforts.</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusions:</span> Patients with OSAHS that use CPAP have a greater reduced level of sleepiness than those who do not use it.</p><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (2): 215-226</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia/Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:26 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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Article information
ISSN: 08732159Original language: Portuguese
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| 2018 April | 46 | 38 | 84 |
| 2018 March | 29 | 25 | 54 |
| 2018 February | 18 | 10 | 28 |
| 2018 January | 32 | 12 | 44 |
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| 2016 May | 0 | 2 | 2 |
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