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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdu&#231;&#227;o&#58;</span> A s&#237;ndroma da apneia-hipopneia obstrutiva do sono &#40;SAHOS&#41; &#233; um dist&#250;rbio respirat&#243;rio de elevada morbimortalidade&#46; A terapia com press&#227;o positiva cont&#237;nua das vias a&#233;reas &#40;CPAP&#41; representa o tratamento conservador mais prescrito para a SAHOS e tem o intuito de restabelecer a pat&#234;ncia das vias a&#233;reas&#44; normalizando o &#237;ndice de eventos respirat&#243;rios obstrutivos&#44; corrigindo os sintomas&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivo&#58;</span> Avaliar o impacto do uso do CPAP nasal sobre a hipersonia diurna em portadores de SAHOS&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">M&#233;todo&#58;</span> Amostra de vinte doentes portadores de SAHOS diagnosticados por estudo de polissonografia de noite inteira&#44; usu&#225;rios ou n&#227;o de CPAP nasal&#44; todos avaliados quanto &#224; hipersonia diurna atrav&#233;s da escala de sonol&#234;ncia de Epworth&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados&#58;</span> O decr&#233;scimo do n&#237;vel de sonol&#234;ncia diurna dos usu&#225;rios de CPAP nasal foi significante &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;017&#41;&#44; enquanto para n&#227;o usu&#225;rios de CPAP nasal a m&#233;dia do mesmo diminuiu sem signific&#226;ncia estat&#237;stica &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;162&#41;&#46; Quanto &#224; ades&#227;o &#224; terapia com CPAP&#44; 100&#37; dos usu&#225;rios relataram benef&#237;cios e&#44; destes&#44; 50&#37; referiram desconfortos durante o uso&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclus&#245;es&#58;</span> Portadores de SAHOS usu&#225;rios do CPAP nasal t&#234;m o seu n&#237;vel de hipersonia diurna diminu&#237;do em rela&#231;&#227;o &#224;queles que n&#227;o o utilizam&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;2&#41;&#58; 215-226</span></p></span>"
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Vol. 15. Issue 2.
Pages 215-226 (March - April 2009)
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Vol. 15. Issue 2.
Pages 215-226 (March - April 2009)
Artigo Original/Original Article
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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
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Clélia Maria Ribeiro Franco1, Juliana Cestaro Bonanni2, Anna Myrna Jaguaribe3, Luiz Ataíde Jr.4
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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Resumo

Introdução: 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.

Objectivo: Avaliar o impacto do uso do CPAP nasal sobre a hipersonia diurna em portadores de SAHOS.

Método: 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.

Resultados: O decréscimo do nível de sonolência diurna dos usuários de CPAP nasal foi significante (p=0,017), enquanto para não usuários de CPAP nasal a média do mesmo diminuiu sem significância estatística (p=0,162). Quanto à adesão à terapia com CPAP, 100% dos usuários relataram benefícios e, destes, 50% referiram desconfortos durante o uso.

Conclusões: Portadores de SAHOS usuários do CPAP nasal têm o seu nível de hipersonia diurna diminuído em relação àqueles que não o utilizam.

Rev Port Pneumol 2009; XV (2): 215-226

Palavras-chave:
Apneia do sono tipo obstrutiva
apneia do sono
pressão positiva em vias aéreas
sonolência excessiva diurna
escala de sonolência de Epworth
polissonografia
tratamento
Abstract

Background: 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.

Aims: To evaluate adherence to nasal CPAP treatment and CPAP impact on daytime drowsiness.

Method: A sample of 20 patients evaluated for daytime drowsiness using the Epworth sleepiness scale and interviewed for adherence to nasal CPAP use.

Results: There was a significant decrease in the level of daytime sleepiness of the patients users of nasal CPAP (p=0.017); patients not using nasal CPAP experienced a decrease without statistical significance (p=0.162). 100% of CPAP users reported benefits and 50% of these reported related discomforts.

Conclusions: Patients with OSAHS that use CPAP have a greater reduced level of sleepiness than those who do not use it.

Rev Port Pneumol 2009; XV (2): 215-226

Key-words:
Obstructive sleep apnoea
sleep apnoea
continuous positive airway pressure
daytime sleepiness
epworth sleepiness scale
polysomnography
treatment
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Copyright © 2009. Sociedade Portuguesa de Pneumologia/SPP
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