上气道扩容术对上气道阻塞性疾病患者高血压的影响

发布时间：2018-02-28 13:26

  本文关键词： 上气道 睡眠呼吸暂停低通气综合征 阻塞性 高血压 手术　出处：《临床耳鼻咽喉头颈外科杂志》2014年15期 　论文类型：期刊论文

【摘要】：目的:探讨伴有高血压的上气道阻塞性疾病患者行上气道扩容术后血压变化情况及可能的机制。方法:采用上气道扩容术对45例伴有高血压且主诉鼻阻塞患者进行治疗,并记录晨起坐位血压。所有患者均实施鼻腔扩容术,其中11例伴咽腔狭窄的阻塞性睡眠呼吸暂停低通气综合征患者联合实施改良的悬雍垂腭咽成形术(HUPPP)。结果:45例高血压患者术后血压均有所下降,收缩压由(157.38±15.15)mmHg下降为(132.18±8.43)mmHg,舒张压由(95.42±9.28)mmHg下降为(82.31±5.88)mmHg。收缩压及舒张压手术前后差异有统计学意义(P0.01)。9例Ⅰ型高血压患者血压完全恢复正常。结论:对伴鼻阻塞的高血压患者,改善上气道(包括鼻腔、咽腔)通气有助于降低血压值,术后血压更平稳,比单纯行HUPPP降压效果更好。
[Abstract]:Objective: to investigate the changes of blood pressure and possible mechanism after upper airway dilatation in patients with hypertension. Methods: 45 patients with hypertension and nasal obstruction were treated with upper airway dilatation. The blood pressure in the sitting position was recorded in the morning. All the patients underwent nasal cavity dilatation. Among them, 11 patients with obstructive sleep apnea hypopnea syndrome with pharyngeal stenosis were treated with modified uvulopalatopharyngoplasty. Systolic blood pressure decreased from 157.38 卤15.15mmHg to 132.18 卤8.43mmHg, diastolic blood pressure decreased from 95.42 卤9.28mm Hg to 82.31 卤5.88mmHg.There were significant differences in systolic blood pressure and diastolic blood pressure before and after operation in patients with type 鈪，

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