{"id":11055,"date":"1996-01-01T00:00:00","date_gmt":"1996-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1996\/01\/01\/la-presion-positiva-continua-en-la-via-aerea-como-tratamiento-del-sindrome-de-apnea-obstructiva-del-sueno\/"},"modified":"1996-01-01T00:00:00","modified_gmt":"1996-01-01T00:00:00","slug":"la-presion-positiva-continua-en-la-via-aerea-como-tratamiento-del-sindrome-de-apnea-obstructiva-del-sueno","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/la-presion-positiva-continua-en-la-via-aerea-como-tratamiento-del-sindrome-de-apnea-obstructiva-del-sueno\/","title":{"rendered":"La presion positiva continua en la via aerea como tratamiento del sindrome de apnea obstructiva del sue\u00f1o."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jorge Cabello Carro <\/strong><\/h2>\n<p>Introduccion. Desde 1981, a\u00f1o en el que se descubrio la presion positiva continua a traves de la via aerea (cpap), como tratamiento del sindrome de apnea obstructiva del sue\u00f1o (saos), dicha enfermedad y su tratamiento han cobrado enorme interes y preponderancia.  dada la cronicidad del tratamiento y las molestias que este produce, es frecuente el abandono del tratamiento con cpap.  hipotesis y objetivos. Para evitar dicho abandono y para obtener un mayor exito terapeutico a largo plazo, es esencial el seguimiento periodico del paciente. Por tanto, nuestros objetivos fueron: 1) diagnosticar el saos y establecer que pacientes necesitaban tratamiento con cpap; 2) efectuar un seguimiento medico a corto y largo plazo (6 y 18 meses); 3) establecer el grado de aceptacion y cumplimiento por parte del paciente y los efectos secundarios del tratamiento.  metodolog\u00eda. De forma prospectiva se ha seguido, a corto y largo plazo, un grupo de 69 pacientes diagnosticados de saos, mediante poligrafia respiratoria nocturna, y que precisaron tratamiento con cpap.  resultados. Se confirmo el diagnostico de saos en 126 enfermos (68%) de los 184 remitidos por sospecha clinica.  se prescribio cpap en 100 pacientes, lo rechazo el 7% y pudo seguirse completamente a 69 sujetos. A corto plazo (6 meses), el tratamiento con cpap nasal mejoro todos los sintomas clinicos de la enfermedad (p&lt;0,0001), disminuyo las cifras de hemoglobina (hb) y hematocrito (hcto) (p&lt;0,0001), aumento las cifras diurnas de pao2 (p&lt;0,0001), redujo las de la paco2 (p&lt;0,01) e incremento el fev1% (p&lt;0,01) y la fvc% (p&lt;0,0001). A largo plazo (18 meses), el uso continuado del cpap no aporto nuevos beneficios a los ya logrados a corto plazo, salvo en los parametros espirometricos en los que se observo una mejoria (p&lt;0,01). A corto plazo (6 meses), solo se registro un 4% de abandonos. La aceptacion psicologica y el cumplimiento fueron buenos en el 80% y 89% de los<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>La presion positiva continua en la via aerea como tratamiento del sindrome de apnea obstructiva del sue\u00f1o.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 La presion positiva continua en la via aerea como tratamiento del sindrome de apnea obstructiva del sue\u00f1o. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jorge Cabello Carro <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1996<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Domingo Espinos Perez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Rafael Enr\u00edquez De Salamanca <\/li>\n<li>Jos\u00e9 Villamor Leon (vocal)<\/li>\n<li>Elpidio Calvo Manuel (vocal)<\/li>\n<li>Julio De La Morena Fern\u00e1ndez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jorge Cabello Carro Introduccion. Desde 1981, a\u00f1o en el que se descubrio la presion positiva continua a [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","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":"","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":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","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-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-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-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-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-gradient":""}},"footnotes":""},"categories":[35,9,69,17971,817,139],"tags":[897,18797,36360,8307,5696,23210],"class_list":["post-11055","post","type-post","status-publish","format-standard","hentry","category-ciencias-de-la-vida","category-ciencias-medicas","category-enfermedades-pulmonares","category-fisiologia-de-la-respiracion","category-fisiologia-humana","category-medicina-interna","tag-domingo-espinos-perez","tag-elpidio-calvo-manuel","tag-jorge-cabello-carro","tag-jose-villamor-leon","tag-julio-de-la-morena-fernandez","tag-rafael-enriquez-de-salamanca"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/11055","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=11055"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/11055\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=11055"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=11055"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=11055"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}