{"id":1253,"date":"2024-03-03T15:49:07","date_gmt":"2024-03-03T14:49:07","guid":{"rendered":"https:\/\/dr-holger-hein.de\/reloaded\/?p=1253"},"modified":"2024-03-03T15:49:07","modified_gmt":"2024-03-03T14:49:07","slug":"lageabhaengige-obstruktive-schlaf-apnoe-vergleich-der-ausschliesslichen-positionstherapie-mit-cpap","status":"publish","type":"post","link":"https:\/\/dr-holger-hein.de\/reloaded\/2024\/03\/03\/lageabhaengige-obstruktive-schlaf-apnoe-vergleich-der-ausschliesslichen-positionstherapie-mit-cpap\/","title":{"rendered":"Lageabh\u00e4ngige obstruktive Schlaf-Apnoe: Vergleich der ausschlie\u00dflichen Positionstherapie mit CPAP."},"content":{"rendered":"Es wurde der Effekt einer Alarmeinrichtung (\u201evibrotactile alarmdevice\u201c) untersucht, die beim Einnehmen der R\u00fcckenlage kr\u00e4ftige Vibration ausl\u00f6ste, und mit einer herk\u00f6mmlichen CPAP-Therapie verglichen. 25 Frauen und 41 M\u00e4nner im Alter von im Mittel 53 \u00b1 12 Jahren, Body-Mass-Index 32 \u00b18 k\/m, Apnoe-Hypopnoe-Index 18\u00b19\/h, R\u00fcckenlage-AHI 40. \u00b140\/h  nutzen in einem Cross-Over Design je 6 Wochen CPAP (leider war der Druck nicht angegeben) oder die Alarmeinrichtung. Pro Nacht traten im Mittel 5 Alarme auf, die innerhalb von 20 Sekunden bis zu 2 Minuten zu einer \u00c4nderung der K\u00f6rperlage f\u00fchrten. 83% der 7917 registrierten Alarme \u00e4nderten die K\u00f6rperlage innerhalb von 30 Sekunden, und 86% der 8176 Alarme innerhalb von 60 Sekunden. Die Wirkung auf den Apnoe-Hyperpnoe-Index war bei beiden Therapiearmen statistisch vergleichbar (-4,2 (Range -1,2 bis 7,2)\/h bei Lagetherapie, -9,1 (Range -6 bis -12,3)\/h unter CPAP),  ebenso die Reduktion der Schl\u00e4frigkeit gemessen in der Epworth-Skala (-1,9 (Range 1- bis -2,8) bei Lagetherapie bzw. -2,4 (Range -1,4 bis -3,3) unter CPAP). (Rahimi MM, Vakulin A, McEvoy RD, Barnes M, Quinn SJ, Mercer JD, O&#8217;Grady A, Antic NA, Catcheside PG. Comparative Effectiveness of Supine Avoidance versus Continuous Positive Airway Pressure for Treating Supine-isolated Sleep Apnea: A Clinical Trial. Ann Am Thorac Soc. 2024 Feb;21(2):308-316. doi: 10.1513\/AnnalsATS.202309-753OC. PMID: 38015501. ) ","protected":false},"excerpt":{"rendered":"<p>Es wurde der Effekt einer Alarmeinrichtung (\u201evibrotactile alarmdevice\u201c) untersucht, die beim Einnehmen der R\u00fcckenlage kr\u00e4ftige Vibration ausl\u00f6ste, und mit einer herk\u00f6mmlichen CPAP-Therapie verglichen. 25 Frauen und 41 M\u00e4nner im Alter von im Mittel 53 \u00b1 12 Jahren, Body-Mass-Index 32 \u00b18 k\/m, Apnoe-Hypopnoe-Index 18\u00b19\/h, R\u00fcckenlage-AHI 40. \u00b140\/h nutzen in einem Cross-Over Design je 6 Wochen CPAP [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1253","post","type-post","status-publish","format-standard","hentry","category-allgemein"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"hein","author_link":"https:\/\/dr-holger-hein.de\/reloaded\/author\/hein\/"},"uagb_comment_info":0,"uagb_excerpt":"Es wurde der Effekt einer Alarmeinrichtung (\u201evibrotactile alarmdevice\u201c) untersucht, die beim Einnehmen der R\u00fcckenlage kr\u00e4ftige Vibration ausl\u00f6ste, und mit einer herk\u00f6mmlichen CPAP-Therapie verglichen. 25 Frauen und 41 M\u00e4nner im Alter von im Mittel 53 \u00b1 12 Jahren, Body-Mass-Index 32 \u00b18 k\/m, Apnoe-Hypopnoe-Index 18\u00b19\/h, R\u00fcckenlage-AHI 40. \u00b140\/h nutzen in einem Cross-Over Design je 6 Wochen CPAP&hellip;","_links":{"self":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1253","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/comments?post=1253"}],"version-history":[{"count":2,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1253\/revisions"}],"predecessor-version":[{"id":1266,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1253\/revisions\/1266"}],"wp:attachment":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/media?parent=1253"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/categories?post=1253"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/tags?post=1253"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}