EFFECT OF LONG-TERM USE OF CPAP THERAPY ON WEIGHT DYNAMICS IN PATIENTS WITH SEVERE OSA

At the clinic of propaedeutics of internal diseases, 33 patients were selected for whom a severe degree of OSA was diagnosed by cardiorespiratory monitoring (YAG ≥ 30 sob / h). All patients had a history of drowsiness (drowsiness school according to the Epworth questionnaire 12 ± 3), the presence of snoring during sleep, and short-term respiratory arrest. Two groups were formed using telephone monitoring: the first group was patients with severe OSAS who purchased a device for CPAP therapy (15 people, 13 of them were men and 2 women), the second group were patients with severe OSAS who did not buy or only are going to purchase a device for CPAP therapy (18 people, 17 of them are men and 1 woman). When analyzing the data, it was found that patients who purchased a device for CPAP therapy 85% have good compliance with the therapy, use the device> 4 hours per night 80% of the nights. With good compliance with therapy, the average weight of the patients of the first group before the start of therapy was 132 ± 8 kg, then at the time of the survey the average weight decreased to 118 ± 5 kg. In patients of the second group without CPAP therapy, the average weight was 111 ± 8 kg, after a trial course and recommendations from the attending physician for weight loss, at the time of the survey, the average weight of the group decreased to 105 ± 5 1 kg. Based on these data, it can be concluded that patients of the first group on CPAP therapy reduced their weight from the original by 1%, in contrast to the second group, where the weight decreased by 6%. According to the results of the study, patients with OSAS who have good compliance with therapy have a higher percentage in weight loss compared with patients without CPAP therapy.

obstructive sleep apnea syndrome, breathing disorders during sleep, snoring, obesity, compliance, CPAP therapy