{"id":1156,"date":"2021-06-15T21:29:19","date_gmt":"2021-06-16T01:29:19","guid":{"rendered":"http:\/\/somnomed.gsqtest1.com\/en\/?page_id=1156"},"modified":"2023-01-18T12:49:28","modified_gmt":"2023-01-18T10:49:28","slug":"clinical","status":"publish","type":"page","link":"https:\/\/staging.somnomed.com\/fi\/physicians\/clinical\/","title":{"rendered":"Clinical"},"content":{"rendered":"\t\t
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Uniapneakiskohoidon ja CPAP-hoidon puolueettomasti mitatut hoitotulokset<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Objektiivisten (mitattavissa olevien) hoitotulosten valossa uniapneakiskohoidolla ja CPAP-hoidolla saadaan samanlaisia tuloksia.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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L\u00e4hteet: 1. (Gotsopoulos et al.,2002), (Engleman et al., 2002), (Barnes et al., 2004), (Gagnadoux et al,, 2009), 2. (Naismith et al., 2005), 3. (Hoekema et al., 2007), 4. (Gotsopoulos, Kelly and Cistulli, 2004), (Barnes et al., 2004), 5. (Philips et al., 2013), 6. (Itzhaki et al, 2007), 7. (Marin et al., 2005), 8. (Anandam et al., 2013)<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Uniapneakiskon ja CPAPin k\u00e4ytt\u00e4jien syd\u00e4nkuolleisuudessa ei ole juuri eroja<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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  • Vuonna 2013 julkaistu Anandamin ja kollegoiden tutkimuksessa, jossa seurattiin 667:\u00e4\u00e4 potilasta 96 kuukauden (6,5 vuoden) ajan, ei ilmennyt eroa syd\u00e4nkuolleisuudessa CPAP-k\u00e4ytt\u00e4jien ja uniapneakiskon k\u00e4ytt\u00e4jien v\u00e4lill\u00e4.<\/li>
  • T\u00e4m\u00e4 siit\u00e4kin huolimatta, ett\u00e4 uniapneakiskon k\u00e4ytt\u00e4jien j\u00e4\u00e4nn\u00f6s-AHI oli korkeampi kuin CPAP-k\u00e4ytt\u00e4jill\u00e4 (16 \u00b1 5,1 vs. 4,5 \u00b1 2,3).<\/li>
  • Vastapainona uniapneakiskon k\u00e4ytt\u00e4j\u00e4t k\u00e4yttiv\u00e4t kiskoa useampana tuntina y\u00f6n aikana (6,5 \u00b1 1,2) kuin CPAP-k\u00e4ytt\u00e4j\u00e4t (5,8 \u00b1 1,6).<\/li>
  • Obstruktiivisen uniapnean j\u00e4tt\u00e4minen hoitamatta kasvatti syd\u00e4nkuoleman riskin 6,5-kertaiseksi!<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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    CPAP, uniapneakiskot ja verenpaine<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    • Brattonin ja kollegoiden vuonna 2015 julkaistussa verkostometa-analyysissa ei ilmennyt eroa CPAP-k\u00e4ytt\u00e4jien ja uniapneakiskon k\u00e4ytt\u00e4jien v\u00e4lill\u00e4 verenpainetulosten suhteen.<\/li>
    • Eroa ei ollut systolisissa eik\u00e4 diastolisissa paineissa (ei kuvassa).<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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      <\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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      References: 1. (Schmidt-Nowara et al.,1995) 2. (Engleman et al.,2004), (Naismith et al., 2005), 3. (Gagnadoux et al., 2009)<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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      Mitatut toiminnalliset hoitotulokset \u2013 vertailussa uniapneakisko ja CPAP<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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      • Potilaille ja heid\u00e4n kumppaneilleen t\u00e4rkeiden mittauskohteiden osalta CPAP toimii paremmin kuorsaamisen v\u00e4hent\u00e4misess\u00e4 (koska se tukee nen\u00e4hengityst\u00e4), mutta uniapneakisko on parempi el\u00e4m\u00e4nlaatua koskevien mittareiden suhteen (koska CPAP-maskin k\u00e4ytt\u00f6 on potilaista hankalaa).<\/li>
      • ”Uniapneakiskohoito laski tehokkaasti AHIa, ja siihen liittyi parempi raportoitu hoitomy\u00f6nteisyys kuin CPAP-hoitoon. Toiminnalliset hoitotulokset olivat vertailluissa hoidoissa samankaltaisia.\u201d Gagnandoux et al, 2009.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

        Uniapneakiskohoidon ja CPAP-hoidon puolueettomasti mitatut hoitotulokset Objektiivisten (mitattavissa olevien) hoitotulosten valossa uniapneakiskohoidolla ja CPAP-hoidolla saadaan samanlaisia tuloksia. L\u00e4hteet: 1. (Gotsopoulos et al.,2002), (Engleman et al., 2002), (Barnes et al., 2004), (Gagnadoux et al,, 2009), 2. (Naismith et al., 2005), 3. (Hoekema et al., 2007), 4. (Gotsopoulos, Kelly and Cistulli, 2004), (Barnes et al., 2004), 5. …<\/p>\n","protected":false},"author":42,"featured_media":0,"parent":1047,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1156","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/staging.somnomed.com\/fi\/wp-json\/wp\/v2\/pages\/1156","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/staging.somnomed.com\/fi\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/staging.somnomed.com\/fi\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/staging.somnomed.com\/fi\/wp-json\/wp\/v2\/users\/42"}],"replies":[{"embeddable":true,"href":"https:\/\/staging.somnomed.com\/fi\/wp-json\/wp\/v2\/comments?post=1156"}],"version-history":[{"count":3,"href":"https:\/\/staging.somnomed.com\/fi\/wp-json\/wp\/v2\/pages\/1156\/revisions"}],"predecessor-version":[{"id":16068,"href":"https:\/\/staging.somnomed.com\/fi\/wp-json\/wp\/v2\/pages\/1156\/revisions\/16068"}],"up":[{"embeddable":true,"href":"https:\/\/staging.somnomed.com\/fi\/wp-json\/wp\/v2\/pages\/1047"}],"wp:attachment":[{"href":"https:\/\/staging.somnomed.com\/fi\/wp-json\/wp\/v2\/media?parent=1156"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}