ÖZET
Amaç:
Bu çalışmanın amacı Obstrüktif Uyku Apne sendromu (OUAS) ve Kronik Obstrüktif Akciğer hastalığı (KOAH) olan hastalarda solunum fonksiyonları, egzersiz performansı ve uyku kalitesini sağlıklı bireylerle karşılaştırmaktır.
Gereç ve Yöntem:
Bu kesitsel çalışmaya 17 OUAS’li hasta (12 erkek, 5 kadın), 24 KOAH’li hasta (20 erkek, 4 kadın) ve 20 sağlıklı birey (15 erkek, 5 kadın) katıldı. Solunum fonksiyonu ve kas kuvvet testleri yapıldı. OUAS ve KOAH’li hastalarda diz ekstansörleri, omuz abduktörleri ve el kavrama kuvveti dijital el dinamometresi kullanılarak ölçüldü. Egzersiz performansı 6 dakika yürüme testi (6DYT) kullanılarak, uyku kalitesi Pittsburgh Uyku Kalitesi indeksi (PUKİ) ile değerlendirildi.
Bulgular:
KOAH’li hastaların 6DYT mesafesi, 6DYT mesafesi (%), omuz abduktörleri kas kuvveti ölçülen ve yüzde değerleri OUAS grubuna göre anlamlı olarak düşüktü (p<0,05). PUKİ kayıtlarına göre OUAS hastalarının %58,8’inin, KOAH hastalarının %58,3’ünün ve sağlıklı bireylerin %15,0’inin uyku kalitesi zayıftı (p=0,006). OUAS ve KOAH grubunda PUKİ-uyku bozukluğu, gündüz fonksiyon bozukluğu, alışılmış uyku etkinliği alt boyutları ve toplam PUKİ skorları sağlıklı bireylerden daha yüksekti (p<0,05).
Sonuç:
Bu çalışma, hem OUAS hem de KOAH hastalarında uyku kalitesinin olumsuz etkilendiğini ve sağlıklı bireylere göre OUAS ve KOAH hastalarında uyku bozukluğu ve gündüz fonksiyon bozukluğunun arttığını ve alışılmış uyku etkinliğinin azaldığını göstermiştir.
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