systhiperСистемные гипертензииSystemic Hypertension2075-082X2542-2189LLC «ИнтерМедсервис»systhiper-519Research ArticleСТАТЬИARTICLESДинамика клинико-психологических характеристик больных с синдромом обструктивного апноэ сна и артериальной гипертонией через один месяц использования СИПАП-терапииDynamics of clinico-psychological characteristics in patients with obstructive sleep apnea syndrome and arterial hypertension after one month of the use of CPAP therapyКоноваловаК. И.KonovalovaK. I.noemail@neicon.ruЕлфимоваЕ. М.ElfimovaE. M.noemail@neicon.ruМихайловаО. О.MikhailovaO. O.noemail@neicon.ruФедороваВ. И.FedorovaV. I.noemail@neicon.ruЛитвинА. Ю.LitvinA. Yu.alelitvin@yandex.ruФГБУ «НМИЦ кардиологии»РоссияA.L.Myasnikov Institute of Clinical Cardiology National Medical Research Center of Cardiology of the Ministry of Health of the Russian FederationRussian Federation2017231220221436571Copyright © Коновалова К.И., Елфимова Е.М., Михайлова О.О., Федорова В.И., Литвин А.Ю., 20222022Коновалова К.И., Елфимова Е.М., Михайлова О.О., Федорова В.И., Литвин А.Ю.Konovalova K.I., Elfimova E.M., Mikhailova O.O., Fedorova V.I., Litvin A.Y.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.syst-hypertension.ru/jour/article/view/519

Цель исследования - определить динамику клинико-психологических характеристик на фоне 1 мес СИПАП-терапии (от англ. Constant Positive Airway Pressure, CPAP) у приверженных и неприверженных лечению больных с синдромом обструктивного апноэ сна (СОАС) и артериальной гипертонией (АГ). Методы. В исследовании приняли участие 180 больных с СОАС и АГ. При включении в него анализировались антропометрические данные, результаты полисомнографического и кардиореспираторного исследований, опросные шкалы депрессии (Бека), личностной и ситуационной тревожности (шкала Спилбергера), дневной сонливости (шкала Эпворт), качества сна (Питтсбургский опросник) и качества жизни (разработана Всемирной организацией здравоохранения и содержит 100 вопросов). Из 40 больных, находящихся на СИПАП-терапии, приверженными лечению через 1 мес были 30 больных. Критерием приверженности считалось время использования СИПАП-аппарата более 4 ч за ночь, более 5 дней в неделю. В данной статье динамика опросных шкал приводится только для приверженных СИПАП-терапии больных. Результаты. У пациентов с СОАС и АГ, приверженных СИПАП-терапии, выявлены статически значимое снижение дневной сонливости и депрессии, а также улучшение качества сна и качества жизни в физической сфере уже через 1 мес использования СИПАП-терапии. Заключение. Даже краткосрочное использование СИПАП-терапии у больных с СОАС и АГ приводит к снижению дневной сонливости и депрессии, улучшению качества сна и качества жизни в физической сфере.

Objective. To determine the dynamics of the clinical and psychological characteristics on the background of 1 month of CPAP therapy in patients with obstructive sleep apnea syndrome (OSA) and arterial hypertension (AH), both adherent and non-adherent to the treatment. Methods. The study included 180 patients with OSA and AH. Upon enrollment, anthropometric data, the results of polysomnography and cardiorespiratory studies, Beck depression scale, Spielberger personal and situational anxiety scale, Epworth daytime sleepiness scale, Pittsburgh sleep quality questionnaire and Quality of Life (WHO QOL-100) questionnaire were analysed. Out of 40 patients undergoing CPAP therapy, 30 patients were adherent to the treatment within a month. The adherence criterion was considered to be the usage of the CPAP device more than 4 hours per night, more than 5 days a week. In this article, the dynamics of the questionnaire scales is given only for those who were adherent to CPAP therapy. Results. Patients with OSA and AH adherent to CPAP therapy showed a statistically significant reduction in daytime sleepiness and depression, as well as improved quality of sleep and quality of life in the physical domain within 1 month of using CPAP therapy. Conclusion. Even short-term use of CPAP therapy in patients with OSA and AH leads to a reduction in daytime sleepiness and depression, improved quality of sleep and quality of life in the physical domain.

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The authors declare that there are no conflicts of interest present.