| 尼冬林.悬雍垂腭咽成形术治疗阻塞性睡眠呼吸
暂停综合征46 例疗效分析[J].,2006,6(2):59-61 |
| 悬雍垂腭咽成形术治疗阻塞性睡眠呼吸
暂停综合征46 例疗效分析 |
| The Effective Analysis of Uvulopalatopharyngoplasty in the Treatmentof 46 Cases of Obstructive Sleep Apnea Syndrome |
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| DOI： |
| 中文关键词: 鼾症 睡眠呼吸暂停综合征 多导睡眠图 睡眠呼吸参数 |
| 英文关键词: Snoring disease Sleep apnea syndrome( SAS) Polysomnogram( PSG) Sleep breath parameter |
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| 中文摘要: |
| 目的: 通过对睡眠呼吸暂停综合征病人( obstructive sleep apnea syndrome, OSAS) 睡眠呼吸参数的比较, 探讨UPPP 治疗
OSAS 的效果。方法: 经多导睡眠图( Polysomnography, PSG) 确诊为OSAS 的病人46 例, 选择呼吸紊乱指数( apnea and hypopnea index,
AHI) 、呼吸暂停指数( apnea index, AI) 及睡眠中的最低SaO2 值作为评价OSAS 轻重程度的指标。计算轻中度组、重度组在手
术前后的AHI 缓解率、最低SaO2 缓解率及显效率, 并作为衡量UPPP 手术治疗效果的指标。分析患者在手术前后AHI、最低SaO2
的相关性; 分析轻中度组和重度组的缓解率、最低SaO2 缓解率及治愈率的相关性。结果: 1 利用UPPP 手术治疗OSAS, 患者手术
前后AHI、最低SaO2 具有相关性。2 在分组资料中, 轻中度组和重度组的缓解率、最低SaO2 缓解率及显效率都具有显著相关性。
结论: ( 1) UPPP 是治疗OSAS 的有效方法; ( 2) 轻中度组的治疗效果要好于重度组。 |
| 英文摘要: |
| Objective: Through comparing the sleep breath parameter of the patients with obstructive sleep apnea syndrome( OSAS) , to
investigate the effect of Uvulopalatopharyngoplasty( UPPP) in the treatment of OSAS. Methods: 46 OSAS patients who were made a diagnosis by
polysomnography( PSG) were selected. Apnea- hypopnea index( AHI) , apnea index ( AI) and the lowest SaO2were regarded as the indexes of evaluating
OSAS. The correlation of remittent rates between the mild and midrange group and severe group as well as the correlation between the
lowest SaO2 remittent rate and cure rate were analysed. Results 1 Using UPPP to treat OSAS, therewas correlation in the patients. AHI and lowest
SaO2 before and after operation; o There was significant correlation between mild and midrange groups. and severe group. s remittent rates as
well as that between the lowest SaO2 remittent rate and cure rate. Conclusion: 1 UPPP is an effective method in the treatment of OSAS; o The
curative effect of the mild and midrange groups is superior to that of severe group. |
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