作者：曹霞，周小丽，薛明月，李小龙

单位：

226600江苏省海安市人民医院呼吸内科

单位（英文）：

Respiratory Department, Hai'an People's Hospital, Hai'an 226600, China

关键词：

阻塞性睡眠呼吸暂停综合征；呼吸功能训练；智能手环；睡眠质量

关键词（英文）：

Obstructive sleep apnea syndrome; Respiratory function training; Smart bracelet; Sleep quality

中图分类号：

R 749.79

DOI：

10.12114/j.issn.1008-5971.2023.00.121

基金项目：

江苏现代医院管理研究基金（JSY32018101）

摘要：

　目的　探讨基于智能手环的呼吸功能训练对阻塞性睡眠呼吸暂停综合征（OSAS）的影响。方法　选取2020年8月至2022年8月在海安市人民医院诊治的100例OSAS患者作为研究对象。采用随机数字表法将患者分为试验组与对照组，每组50例。对照组患者接受常规药物治疗及常规指导，试验组患者在对照组基础上进行基于智能手环的呼吸功能训练，具体训练过程包括组建干预团队、制定呼吸功能训练流程、实施基于智能手环的呼吸功能训练及质量控制措施。两组均干预8周。比较两组干预前后肺通气功能指标〔用力肺活量（FVC）和第1秒用力呼气容积（FEV1）/FVC比值〕、呼吸肌力指标〔最大吸气压（MIP）和最大呼气压（MEP）〕、运动耐力指标〔6 min步行距离和“起立-行走”测试（TUGT）结果〕、睡眠质量指标〔匹兹堡睡眠质量指数（PSQI）〕、血清炎症因子〔白介素6（IL-6）和肿瘤坏死因子α（TNF-α）〕及总抗氧化能力（TAOC）。结果　干预后，对照组和试验组FVC分别大于本组干预前，FEV1/FVC比值、MIP、MEP分别高于本组干预前，且试验组FVC大于对照组，FEV1/FVC比值、MIP、MEP高于对照组（P＜0.05）。干预后，对照组和试验组6 min步行距离分别长于本组干预前，TUGT结果分别短于本组干预前，PSQI评分分别低于本组干预前，且试验组6 min步行距离长于对照组，TUGT结果短于对照组，PSQI评分低于对照组（P＜0.05）。干预后，对照组和试验组血清IL-6、TNF-α分别低于本组干预前，TAOC分别高于本组干预前，且试验组血清IL-6、TNF-α低于对照组，TAOC高于对照组（P＜0.05）。结论　基于智能手环的呼吸功能训练可有效改善OSAS患者肺通气功能，提高患者呼吸肌力、运动耐力和睡眠质量，减轻患者炎症反应和氧化应激。【关键词】　阻塞性睡眠呼吸暂停综合征；呼吸功能训练；智能手环；睡眠质量

英文摘要：

　Objective To explore the effect of respiratory function training based on smart bracelet on obstructivesleep apnea syndrome (OSAS) . Methods A total of 100 OSAS patients diagnosed and treated at Hai'an People's Hospital fromAugust 2020 to August 2022 were selected as the study subjects. The patients were divided into experimental group and controlgroup by random number table method, 50 cases in each group. The patients in the control group received routine drug treatmentand guidance, while the patients in the experimental group received respiratory function training based on smart bracelet onthe basis of the control group. The specific training process includes establishing an intervention team, developing a respiratoryfunction training process, and implementing respiratory function training based on smart bracelet and quality control measures.Both groups were intervened for 8 weeks. The pulmonary ventilation function indicators [forced vital capacity (FVC) and firstsecond expiratory volume (FEV1) /FVC ratio] , respiratory muscle strength indicators [maximum inspiratory pressure (MIP) andmaximum expiratory pressure (MEP) ] , exercise endurance indicators [6-minute walking distance and Timed Up and Go Test(TUGT) results] , sleep quality indicators [Pittsburgh Sleep Quality Index (PSQI) ] , serum inflammatory factors [interleukin-6(IL-6) , tumor necrosis factor-α (TNF-α) ] and total antioxidant capacity (TAOC) were compared between the two groups beforeand after intervention. Results After intervention, the FVC of the control group and the experimental group was greater than thatbefore intervention respectively, and the FEV1/FVC ratio, MIP and MEP were higher than those before intervention respectively (P< 0.05) . After intervention, the FVC of the experimental group was greater than that of the control group, and the FEV1/FVC ratio,MIP and MEP were higher than those of the control group (P < 0.05) . After intervention, the 6-minute walking distance in the control group and the experimental group was longer than that before intervention respectively, the TUGT results were shorter thanthat those before intervention respectively, and the PSQI score was lower than that before intervention respectively (P < 0.05) .After intervention, the 6-minute walking distance in the experimental group was longer than that in the control group, the TUGTresults were shorter than those in the control group, and the PSQI score was lower than that in the control group (P < 0.05) . Afterintervention, serum IL-6 and TNF-α in the control group and the experimental group were lower than those before interventionrespectively, and the TAOC was higher than that before intervention respectively (P < 0.05) . After intervention, serum IL-6 andTNF-α in the experimental group were lower than those in the control group, and TAOC was higher than that in the control group (P< 0.05) . Conclusion The respiratory function training based on smart bracelet can effectively improve the pulmonary ventilationfunction, respiratory muscle strength, exercise endurance and sleep quality of OSAS patients, and alleviate their inflammatoryreactions and oxidative stress.

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