{"id":30121,"date":"2018-03-09T09:23:36","date_gmt":"2018-03-09T09:23:36","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/repercusiones-del-sa%c2%adndrome-de-apneas-hipopneas-obstructivas-del-sueno-sobre-el-rendimiento-fa%c2%adsico\/"},"modified":"2018-03-09T09:23:36","modified_gmt":"2018-03-09T09:23:36","slug":"repercusiones-del-sa%c2%adndrome-de-apneas-hipopneas-obstructivas-del-sueno-sobre-el-rendimiento-fa%c2%adsico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/malaga\/repercusiones-del-sa%c2%adndrome-de-apneas-hipopneas-obstructivas-del-sueno-sobre-el-rendimiento-fa%c2%adsico\/","title":{"rendered":"Repercusiones del s\u00edndrome de apneas\/hipopneas obstructivas del sue\u00f1o sobre el rendimiento f\u00edsico."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Carlos S\u00e1nchez-lafuente Gemar <\/strong><\/h2>\n<p>Numerosos autores han se\u00f1alado, que los pacientes con saos severo sufren un deterioro f\u00edsico secundario a la deuda de sue\u00f1o, bas\u00e1ndose en cuestionarios subjetivos de calidad y escalas de somnolencia y muy pocos han intentado determinar por m\u00e9todos objetivos el grado de dicho deterioro.  debido a ello pensamos, que las pruebas ergom\u00e9tricas con determinaci\u00f3n del consumo de ox\u00edgeno m\u00e1ximo podr\u00edan evidenciar dicho deterioro y a su vez servir\u00edan para comprobar si \u00e9ste mejora una vez instaurado el tratamiento del saos con cpap nasal.  para ello, evaluamos prospectivamente a 32 pacientes con saos, 24 con saos severo (iah&gt;-50) y 8 con saos moderado (iah entre 27 y 49). A todos se les aplic\u00f3 un protocolo de estudio en el que se inclu\u00edan: estudio del sue\u00f1o mediante poligraf\u00eda respiratoria, pruebas de esfuerzo m\u00e1ximo con medici\u00f3n del consumo de ox\u00edgeno antes y despu\u00e9s de 30 d\u00edas de tratamiento y comprobaci\u00f3n mediante pulsioximetr\u00eda nocturna, de que desaparecen las desaturaciones de ox\u00edgeno con la cpap. Igualmente, a todos los pacientes con saos moderado y a un grupo de los de saos severo se les realizaron extracciones sangu\u00edneas antes y despu\u00e9s del tratamiento.  tras analizar los resultados, hemos detectado que los pacientes con saos severo antes del tratamiento, tienen un consumo de ox\u00edgeno m\u00e1ximo en el l\u00edmite inferior de la normalidad (86,83%), cosa que no ocurra en los de saos moderado (96,75%), que como vemos lo tienen cercano al 100%.  despu\u00e9s de los 30 d\u00edas de tratamiento con cpap nasal, se incrementaron en todos los pacientes los par\u00e1metros ergom\u00e9tricos indicativos de un mejor rendimiento f\u00edsico, a saber: potencia m\u00e1xima alcanzada (moderados:+6,66%; severos:+120,7%), consumo de ox\u00edgeno m\u00e1ximo (moderados:+8,81%; severos:+22,14%). \u00e9ste incremento, como se desprende de las cifras, fue proporcional al grado de deterioro, es decir, fue mayor en los pacientes con un saos mas severo. en los pacientes con s<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Repercusiones del s\u00edndrome de apneas\/hipopneas obstructivas del sue\u00f1o sobre el rendimiento f\u00edsico.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Repercusiones del s\u00edndrome de apneas\/hipopneas obstructivas del sue\u00f1o sobre el rendimiento f\u00edsico. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Carlos S\u00e1nchez-lafuente Gemar <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/05\/2004<\/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>Miguel Rosales Jaldo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Gonz\u00e1lez santos <\/li>\n<li>Fernando Fuentes otero (vocal)<\/li>\n<li>Fernando S\u00e1nchez gasc\u00f3n (vocal)<\/li>\n<li>Jos\u00e9 ram\u00f3n Alvero cruz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carlos S\u00e1nchez-lafuente Gemar Numerosos autores han se\u00f1alado, que los pacientes con saos severo sufren un deterioro f\u00edsico [&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 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