The association between dysphagia and OSA.

Lorenzo Marra, Giada Cavallaro, Valentina Di Lecce, Giorgio Castellana, Carla Santomasi, Vincenzo Di Nicola, Nicola Antonio Adolfo Quaranta, Giovanna Elisiana Carpagnano, Onofrio Resta, Maria Luisa Fiorella
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引用次数: 2

Abstract

Objective: The aim of our study was to investigate the presence of dysphagia in patients with Obstructive Sleep Apnoea (OSA) and to correlate swallowing impairment with hypnologic and anatomic parameters.

Methods: The study population includes 36 patients suffering from OSA. Patients were divided into two groups using the presence of dysphagia as a distinctive parameter. Group 1 included 27 OSA patients without signs of dysphagia and Group 2 included 9 OSA patients with signs of dysphagia.

Results: The age of patients in Group 2 was higher compared with the age of patients in Group 1. Analysis of Continuous Positive Airway Pressure (CPAP), obtained in the titration phase, showed that OSA patients with signs of dysphagia required a higher level of CPAP pressure than those who were not affected by swallowing abnormalities (12.6 ± 1 vs 10.5 ± 1.9 p = 0.003). No other differences in anthropometric, hypnologic, or arterial blood gas values were found between the two groups.

Conclusions: In clinical practice, all OSA patients should undergo a complete ENT exam, including assessment of swallowing, before CPAP therapy is started. This may predict the need for higher CPAP pressure settings to resolve apnoea episodes in the presence of dysphagia as well as guide the choice of CPAP interfaces (orofacial vs. nasal) in these patients.

Abstract Image

吞咽困难与呼吸暂停综合症之间的关系。
目的:本研究旨在探讨阻塞性睡眠呼吸暂停(OSA)患者是否存在吞咽困难,并探讨吞咽障碍与生理和解剖学参数的关系。方法:选取36例OSA患者作为研究对象。患者被分为两组,使用吞咽困难的存在作为一个独特的参数。组1包括27例无吞咽困难症状的OSA患者,组2包括9例有吞咽困难症状的OSA患者。结果:2组患者的年龄高于1组患者的年龄。在滴定期获得的持续气道正压(CPAP)分析显示,有吞咽困难体征的OSA患者比没有吞咽异常的OSA患者需要更高水平的CPAP压力(12.6±1 vs 10.5±1.9 p = 0.003)。在两组之间没有发现人体测量学、生理学或动脉血气值的其他差异。结论:在临床实践中,所有OSA患者在开始CPAP治疗前应进行完整的耳鼻喉检查,包括吞咽评估。这可能预示着需要更高的CPAP压力设置来解决存在吞咽困难的呼吸暂停事件,并指导这些患者选择CPAP接口(口面或鼻)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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