Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (6): 117-122.doi: 10.6040/j.issn.1673-3770.0.2021.458

• 综述 • Previous Articles    

Research progress in internet medical services of CPAP use in patients with obstructive sleep apnea hypopnea syndrome

PAN Jianyun1, MO Kunlan1Overview,HU Yuli2, LI Chaoyu3Guidance   

  1. 1. Department of Otorhinolaryngology & Head and Neck Surgery, the Seventh Affiliated Hospital of Guangxi Medical University, Wuzhou 543000, Guangxi, China;
    2. Department of Otorhinolaryngology & Head and Neck Surgery, the Sixth People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200233, China;
    3. School of Electronic Information Engineering, Wuzhou Vocational College, Wuzhou 543002, Guangxi, China
  • Published:2022-12-07

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Abstract: Continuous positive airway pressure(CPAP)is the first-line treatment for obstructive sleep apnea hypopnea syndrome. However, CPAP adherence is often sub-optimal. Using Internet medical services, patients can complete related disease consultations without leaving their homes, saving them time and money and reducing outpatient flow. Different intervention devices and measures based on internet services can improve OSAHS patients' compliance with CPAP, improve patients' quality of life and improve patient satisfaction. This article sorts and summarizes relevant domestic and foreign studies of internet telemedicine equipment and intervention measures and provides a theoretical reference for the development of Internet telemedicine services.

Key words: Obstructive sleep apnea hypopnea syndrome, Continuous positive airway pressure, Telemedicine, Internet

CLC Number: 

  • R766
[1] Obstructive sleep apnoea syndrome[J]. Nat Rev Dis Primers, 2015, 1: 15043. doi:10.1038/nrdp.2015.43.
[2] Javaheri S, Barbe F, Campos-Rodriguez F, et al. Sleep apnea: types, mechanisms, and clinical cardiovascular consequences[J]. J Am Coll Cardiol, 2017, 69(7): 841-858. doi:10.1016/j.jacc.2016.11.069.
[3] Franklin KA, Lindberg E. Obstructive sleep apnea is a common disorder in the population-a review on the epidemiology of sleep apnea[J]. J Thorac Dis, 2015, 7(8): 1311-1322. doi:10.3978/j.issn.2072-1439.2015.06.11.
[4] Heinzer R, Vat S, Marques-Vidal P, et al. Prevalence of sleep-disordered breathing in the general population: the HypnoLaus study[J]. Lancet Respir Med, 2015, 3(4): 310-318. doi:10.1016/S2213-2600(15)00043-0.
[5] 阻塞性睡眠呼吸暂停低通气综合征诊治指南(基层版)写作组.阻塞性睡眠呼吸暂停低通气综合征诊治指南(基层版)[J].中国呼吸与危重监护杂志, 2015, 14(7): 509-515. doi:10.7507/1671-6205.2015100.
[6] 胡庆磊, 杜翠萍, 杨扬, 等. 上海市普陀区20岁以上人群阻塞性睡眠呼吸暂停低通气综合征流行病学调查[J].中国眼耳鼻喉科杂志, 2017, 17(1): 49-54. doi:10.14166/j.issn.1671-2420.2017.01.015.
[7] 任涛, 唐以军, 王梅芳, 等. 阻塞性睡眠呼吸暂停低通气综合征对血糖、血脂及C反应蛋白的影响[J]. 山东大学耳鼻喉眼学报, 2017, 31(6): 53-57. doi:10.6040/j.issn.1673-3770.0.2017.182. REN Tao, TANG Yijun, WANG Meifang, et al. Effect of obstructive sleep apnea-hypopnea syndrome on blood glucose, serum lipid, and C-reactive protein levels[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2017, 31(6): 53-57. doi:10.6040/j.issn.1673-3770.0.2017.182.
[8] Ayas NT, Taylor CM, Laher I. Cardiovascular consequences of obstructive sleep apnea[J]. Curr Opin Cardiol, 2016, 31(6): 599-605. doi:10.1097/HCO.0000000000000329.
[9] Javaheri S, Barbe F, Campos-Rodriguez F, et al. Sleep apnea: types, mechanisms, and clinical cardiovascular consequences[J]. J Am Coll Cardiol, 2017, 69(7): 841-858. doi:10.1016/j.jacc.2016.11.069.
[10] Isetta V, Negrín MA, Monasterio C, et al. A Bayesian cost-effectiveness analysis of a telemedicine-based strategy for the management of sleep apnoea: a multicentre randomised controlled trial[J]. Thorax, 2015, 70(11): 1054-1061. doi:10.1136/thoraxjnl-2015-207032.
[11] Zhang C, Lv J, Zhou JH, et al. The effect of CPAP treatment on EEG of OSAS patients[J]. Sleep Breath, 2015, 19(4): 1121-1124. doi:10.1007/s11325-014-1097-3.
[12] Lo Bue A, Salvaggio A, Iacono Isidoro S, et al. OSA and CPAP therapy: effect of gender, somnolence, and treatment adherence on health-related quality of life[J]. Sleep Breath, 2020, 24(2): 533-540. doi:10.1007/s11325-019-01895-3.
[13] Venkatnarayan K, Devaraj U, Veluthat C, et al. The effect of CPAP therapy on excessive daytime sleepiness and quality of life in subjects with obstructive sleep apnoea: an AB design study[J]. Sleep Breath, 2021, 25(3): 1351-1357. doi:10.1007/s11325-020-02237-4.
[14] Jonas DE, Amick HR, Feltner C, et al. Screening for obstructive sleep apnea in adults: evidence report and systematic review for the US preventive services task force[J]. JAMA, 2017, 317(4): 415-433. doi:10.1001/jama.2016.19635.
[15] 吕丹, 孙铭宏, 于雪莹, 等. 阻塞性睡眠呼吸暂停低通气综合征患者CPAP治疗前后上气道顺应性的CT改变[J]. 山东大学耳鼻喉眼学报, 2020, 34(1): 46-49. doi:10.6040/j.issn.1673-3770.0.2018.294. LÜ Dan, SUN Minghong, YU Xueying, et al. CT changes in upper airway compliance in patients with obstructive sleep apnea-hypopnea ayndromeusing CPAP[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(1): 46-49. doi:10.6040/j.issn.1673-3770.0.2018.294.
[16] Diaz-Abad M, Chatila W, Lammi MR, et al. Determinants of CPAP adherence in hispanics with obstructive sleep apnea[J]. Sleep Disord, 2014: 878213. doi:10.1155/2014/878213.
[17] Sutherland K, Kairaitis K, Yee BJ, et al. From CPAP to tailored therapy for obstructive sleep Apnoea[J]. Multidiscip Respir Med, 2018, 13: 44. doi:10.1186/s40248-018-0157-0.
[18] Goyal A, Agarwal N, Pakhare A. Barriers to CPAP use in India: an exploratory study[J]. J Clin Sleep Med, 2017, 13(12): 1385-1394. doi:10.5664/jcsm.6830.
[19] Ghadiri M, Grunstein RR. Clinical side effects of continuous positive airway pressure in patients with obstructive sleep apnoea[J]. Respirology, 2020, 25(6): 593-602. doi:10.1111/resp.13808.
[20] Galetke W, Puzzo L, Priegnitz C, et al. Long-term therapy with continuous positive airway pressure in obstructive sleep apnea: adherence, side effects and predictors of withdrawal- a ‘real-life’ study[J]. Respiration, 2011, 82(2): 155-161. doi:10.1159/000322838.
[21] Ulander M, Johansson MS, Ewaldh AE, etal. Side effects to continuous positive airway pressure treatment for obstructive sleep apnoea: changes over time and association to adherence. Sleep Breath,2014,18(4):799-807. doi: 10.1007/s11325-014-0945-5.
[22] Sabil A, le Vaillant M, Stitt C, et al. A CPAP data-based algorithm for automatic early prediction of therapy adherence[J]. Sleep Breath, 2021, 25(2): 957-962. doi:10.1007/s11325-020-02186-y.
[23] Janson C, Nöges E, Svedberg-Randt S, et al. What characterizes patients who are unable to tolerate continuous positive airway pressure(CPAP)treatment? [J]. Respir Med, 2000, 94(2): 145-149. doi:10.1053/rmed.1999.0703.
[24] Sin DD, Mayers I, Man GCW, et al. Long-term compliance rates to continuous positive airway pressure in obstructive sleep apnea: a population-based study[J]. Chest, 2002, 121(2): 430-435. doi:10.1378/chest.121.2.430.
[25] Collen J, Lettieri C, Kelly W, et al. Clinical and polysomnographic predictors of short-term continuous positive airway pressure compliance[J].Chest,2009,135(3):704-709. doi: 10.1378/chest.08-2182.
[26] Mehrtash M, Bakker JP, Ayas N. Predictors of continuous positive airway pressure adherence in patients with obstructive sleep apnea[J].Lung, 2019,197(2):115-121. doi: 10.1007/s00408-018-00193-1. Epub 2019 Jan 7.
[27] Borriboon C, Chaiard J, Tachaudomdach C, etal. Continuous positive airway pressure adherence in people with obstructive sleep apnoea[J]. J Clin Nurs, 2021, 31(23-24):3477-3484. doi: 10.1111/jocn.16174. Epub ahead of print. PMID: 34962327.
[28] 中国互联网络信息中心.第49次《中国互联网络发展状况统计报告》[EB/OL].http://www.cnnic.cn/gywm/xwzx/rdxw/20172017_7086/202202/t20220225_71724.htm.
[29] Isetta V, Torres M, González K, et al. A New mHealth application to support treatment of sleep apnoea patients[J]. J Telemed Telecare, 2017, 23(1): 14-18. doi:10.1177/1357633X15621848.
[30] Hostler JM, Sheikh KL, Andrada TF, et al. A mobile, web-based system can improve positive airway pressure adherence[J]. J Sleep Res, 2017, 26(2): 139-146. doi:10.1111/jsr.12476.
[31] Nilius G, Schroeder M, Domanski U, et al. Telemedicine improves continuous positive airway pressure adherence in stroke patients with obstructive sleep apnea in a randomized trial[J]. Respiration, 2019, 98(5): 410-420. doi:10.1159/000501656.
[32] Hwang D, Chang JW, Benjafield AV, et al. Effect of telemedicine education and telemonitoring on continuous positive airway pressure adherence. the tele-OSA randomized trial[J]. Am J Respir Crit Care Med, 2018, 197(1): 117-126. doi:10.1164/rccm.201703-0582OC.
[33] Fields BG, Behari PP, McCloskey S, et al. Remote ambulatory management of veterans with obstructive sleep apnea[J]. Sleep, 2016, 39(3): 501-509. doi:10.5665/sleep.5514.
[34] Stepnowsky C, Edwards C, Zamora T, et al. Patient perspective on use of an interactive website for sleep apnea[J]. Int J Telemed Appl, 2013: 239382. doi:10.1155/2013/239382.
[35] Stepnowsky CJ, Palau JJ, Marler MR, et al. Pilot randomized trial of the effect of wireless telemonitoring on compliance and treatment efficacy in obstructive sleep apnea[J]. J Med Internet Res, 2007, 9(2): e14. doi:10.2196/jmir.9.2.e14.
[36] Turino C, de Batlle J, Woehrle H, et al. Management of continuous positive airway pressure treatment compliance using telemonitoring in obstructive sleep apnoea[J]. Eur Respir J, 2017, 49(2): 1601128. doi:10.1183/13993003.01128-2016.
[37] Taylor Y, Eliasson A, Andrada T, et al. The role of telemedicine in CPAP compliance for patients with obstructive sleep apnea syndrome[J]. Sleep Breath, 2006, 10(3): 132-138. doi:10.1007/s11325-006-0059-9.
[38] DeMolles DA, Sparrow D, Gottlieb DJ, et al. A pilot trial of a telecommunications system in sleep apnea management[J]. Med Care, 2004, 42(8): 764-769. doi:10.1097/01.mlr.0000132353.99209.fe.
[39] Hostler JM, Sheikh KL, Andrada TF, et al. A mobile, web-based system can improve positive airway pressure adherence[J]. J Sleep Res, 2017, 26(2): 139-146. doi:10.1111/jsr.12476.
[40] 李玺, 陈明真, 卢燕珊, 等. 基于云平台的远程医疗对OSAHS患者CPAP治疗依从性的影响[J]. 广东医学, 2017, 38(S2): 58-60. doi:10.3969/j.issn.1001-9448.2017.z2.023.
[41] 邓泽海, 李进让, 后群, 等. 睡眠呼吸监测管理云平台在OSAHS治疗中的作用[J]. 临床耳鼻咽喉头颈外科杂志, 2017, 31(21): 1646-1648, 1652. doi:10.13201/j.issn.1001-1781.2017.21.006. DENG Zehai, LI Jinrang, HOU Qun, et al. Role of sleep apnea monitoring management platform in the treatment of patients with obstructive sleep apnea hypopnea syndrome[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2017, 31(21): 1646-1648, 1652. doi:10.13201/j.issn.1001-1781.2017.21.006.
[42] 卢燕珊. 睡眠呼吸云平台在阻塞性睡眠呼吸暂停低通气综合征患者CPAP治疗中生活质量改善的研究[J]. 中国当代医药, 2018, 25(8): 37-39. doi:10.3969/j.issn.1674-4721.2018.08.012. LU Yanshan. Study of life quality improvement of sleep breathing cloud platform in CPAP treatment for patients with obstructive sleep apnea-hypopnea syndrome[J]. China Modern Medicine, 2018, 25(8): 37-39. doi:10.3969/j.issn.1674-4721.2018.08.012.
[43] 阚海峰, 郭亚丽. 网络随访对阻塞性睡眠呼吸暂停综合征患者家庭正压通气治疗依从性的影响[J]. 中国医学工程, 2013, 21(12): 188-189.
[44] 孙龙凤, 孔德磊, 王爱平. 电话随访对阻塞性睡眠呼吸暂停综合征患者使用正压通气依从性的影响[J]. 中华护理杂志, 2012, 47(2): 118-120. doi:10.3761/j.issn.0254-1769.2012.02.007. SUN Longfeng, KONG Delei, WANG Aiping. Influence of follow-up by telephone on rehabilitation compliance of obstructive sleep apnea syndrome patients treated with continuous positive airway pressure[J]. Chinese Journal of Nursing, 2012, 47(2): 118-120. doi:10.3761/j.issn.0254-1769.2012.02.007.
[45] 国务院办公厅. 国务院办公厅关于促进“互联网+医疗健康”发展的意见[J]. 当代农村财经, 2018(6): 42-45. doi:10.3969/j.issn.1007-3604.2018.06.013.
[46] 国家卫生健康委员会,国家中医药管理局.印发互联网诊疗管理办法(试行)等3个文件的通知[Z].国卫医发[2018] 25号.2018.
[47] 上海市卫生健康委员会.上海市卫生健康委员会关于印发《上海市互联网医院管理办法》的通知[Z].沪卫规[2019] 004号.2019.
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