Das Grundprinzip der CPAP-Therapie besteht in einer Erh\u00c3\u00b6hung des Luftdruckes im Nasenrachenraum, der dadurch w\u00c3\u00a4hrend der gesamten Ein- und Ausatemphase offen gehalten wird und nicht kollabiert.\u00c2\u00a0 Dies wird erm\u00c3\u00b6glicht durch die Verabreichung eines st\u00c3\u00a4ndig positiven Druckes \u00c3\u00bcber eine (Nasen- oder Mundnasen-) Maske. Es wurde jetzt gepr\u00c3\u00bcft, ob das Einsetzen von Ventilen in die Nasen\u00c3\u00b6ffnungen \u00c3\u00a4hnlich wirksam ist (Provent, Ventus Medical, Belmont, Ca, USA). Die Ventile lassen beim Einatmen Luft durch, \u00c3\u00b6ffnen aber erst bei einem erh\u00c3\u00b6hten Ausatemdruck. Es zeigte sch bei 34 untersuchten Personen, da\u00c3\u0178 der Apnoe-Hypopnoe-Index (AHI) von 24,5\/h auf 13,5\/h abnahm. Bei 10 von 34 Personen lag der AHI auch nach 30 Tagen Nutzung noch unter 10\/h. Alle waren vorher nicht mit CPAP behandelt worden. Der Schlaf besserte sich nicht, aber die subjektive Tagesschl\u00c3\u00a4frigkeit nahm ab (Epworth-Wert: von 8,7 auf 6,9).<\/p>\n
Das Verfahren scheint bei milder Schlafapnoe eine positive Wirkung zu haben, bei ausgepr\u00c3\u00a4gter Schlafapnoe ist jedoch kein ausreichender Effekt zu erzielen.
(Rosenthal L et al. J Clin Sleep Med 2009;5: 532-537)<\/p>\n","protected":false},"excerpt":{"rendered":"
Das Grundprinzip der CPAP-Therapie besteht in einer Erh\u00c3\u00b6hung des Luftdruckes im Nasenrachenraum, der dadurch w\u00c3\u00a4hrend der gesamten Ein- und Ausatemphase offen gehalten wird und nicht kollabiert.\u00c2\u00a0 Dies wird erm\u00c3\u00b6glicht durch die Verabreichung eines st\u00c3\u00a4ndig positiven Druckes \u00c3\u00bcber eine (Nasen- oder Mundnasen-) Maske. Es wurde jetzt gepr\u00c3\u00bcft, ob das Einsetzen von Ventilen in die Nasen\u00c3\u00b6ffnungen \u00c3\u00a4hnlich […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","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":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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-380","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":"Das Grundprinzip der CPAP-Therapie besteht in einer Erh\u00c3\u00b6hung des Luftdruckes im Nasenrachenraum, der dadurch w\u00c3\u00a4hrend der gesamten Ein- und Ausatemphase offen gehalten wird und nicht kollabiert.\u00c2\u00a0 Dies wird erm\u00c3\u00b6glicht durch die Verabreichung eines st\u00c3\u00a4ndig positiven Druckes \u00c3\u00bcber eine (Nasen- oder Mundnasen-) Maske. Es wurde jetzt gepr\u00c3\u00bcft, ob das Einsetzen von Ventilen in die Nasen\u00c3\u00b6ffnungen \u00c3\u00a4hnlich…","_links":{"self":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/380","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=380"}],"version-history":[{"count":0,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/380\/revisions"}],"wp:attachment":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/media?parent=380"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/categories?post=380"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/tags?post=380"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}