{"id":40087,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-los-centros-respiratorios-en-pacientes-con-sindrome-de-apnea-obstructiva-del-sueno\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"estudio-de-los-centros-respiratorios-en-pacientes-con-sindrome-de-apnea-obstructiva-del-sueno","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-los-centros-respiratorios-en-pacientes-con-sindrome-de-apnea-obstructiva-del-sueno\/","title":{"rendered":"Estudio de los centros respiratorios en pacientes con sindrome de apnea obstructiva del sue\u00f1o."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Miguel Rodriguez Gonzalez Moro <\/strong><\/h2>\n<p>Los mecanismos fisiopatol\u00f3gicos que conducen a la aparici\u00f3n del s\u00edndrome de apnea obstructiva del sue\u00f1o (saos) y los acontecimientos que ocasionan la obstrucci\u00f3n de las v\u00edas a\u00e9reas superiores (vas) no est\u00e1n totalmente esclarecidos. Los pacientes con saos pueden presentar alteraciones del control ventilatorio que favorezcan el colapso inspiratorio de las vas. Esta alteraci\u00f3n podr\u00eda ser reversible con tratamiento prolongado con cpap. El objetivo de esta tesis ha sido conocer el comportamiento del control central de la respiraci\u00f3n en pacientes con saos sin epoc asociada, as\u00ed como el impacto que el tratamiento prolongado con cpapn puede tener sobre el mismo. Metodologa: estudio prospectivo y consecutivo, en el que se incluyeron 62 enfermos diagnosticados de saos (iah 49,77 de 25,09) y 27 sujetos que actuaron como grupo control. Se efectuaron en todos ellos los siguientes estudios: polisomnograf\u00eda, espirometr\u00eda, pletismograf\u00eda, presiones musculares m\u00e1ximas, gasometr\u00eda arterial y estudio del patr\u00f3n respiratorio en condiciones basales y tras est\u00edmulocon co2 (estado estable). Los estudios se repitieron despues de un periodo de tiempo de 6 o m\u00e1s meses de tratamiento con cpap. Resultados: los enfermos con saos presentaron mayor vr y resistencias y menor conductancia que los controles, as\u00ed como cifras inferiores de pao2 y m\u00e1s elevadas de paco2 que los sujetos del grupo control. El estudio del patr\u00f3n ventilatorio basal mostr\u00f3 que el grupo de saos ten\u00eda una presi\u00f3n de oclusi\u00f3n mayor que los controles, no mostrando diferencias el resto de par\u00e1metros analizados. tras est\u00edmulocon co2 la respuesta ventilatoria de los saos fue inferior a los controles. El an\u00e1lisis por subgrupos mostr\u00f3 que los enfermos con hipercapnia ten\u00edan tanto una respuesta ventilatoria como de la presi\u00f3n de oclusi\u00f3n disminuida frente a los controles y los saos euc\u00e1pnicos. la cpap produjo una disminuci\u00f3n de resistencias y de la presi\u00f3n de oclu<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de los centros respiratorios en pacientes con sindrome de apnea obstructiva del sue\u00f1o.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de los centros respiratorios en pacientes con sindrome de apnea obstructiva del sue\u00f1o. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Miguel Rodriguez Gonzalez Moro <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1999<\/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>Jos\u00e9 Luis Alvarez Sala Walther<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Alvarez sala walther <\/li>\n<li>Fernando S\u00e1nchez gasc\u00f3n (vocal)<\/li>\n<li>victor Sobradillo pe\u00f1a (vocal)<\/li>\n<li>Francisco Gomez gomez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Miguel Rodriguez Gonzalez Moro Los mecanismos fisiopatol\u00f3gicos que conducen a la aparici\u00f3n del s\u00edndrome de apnea [&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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