阻塞性睡眠呼吸暂停低通气综合征患者上气道多平面扩容术前后嗓音质量主观评估

发布时间：2018-04-09 19:46

  本文选题：阻塞性睡眠呼吸暂停低通气综合征　切入点：上气道多平面扩容术　出处：《武汉大学学报(医学版)》2014年02期

【摘要】：目的:探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者上气道多平面扩容术前后嗓音质量主观听觉评估的变化。方法:对26例OSAHS患者于上气道多平面手术前后进行嗓音相关因素主观心理听觉评估的问卷调查。结果:主观调查问卷结果显示,26例患者上气道多平面扩容术后4例(15.38%)出现短时间的轻度腭咽闭合功能不全所致的鼻腔返流现象,均于术后1周内消失;3例(11.54%)术后发声有轻度鼻音增高尤以术后1周内较明显而后逐渐消失;2例(7.69%)扁桃体Ⅲ度肥大者诉声音有所改变,如原有轻微含糖音消失,发声清晰度较前提高。总体评估是嗓音障碍指数(VHI)量表、嗓音相关生活质量(V-RQOL)量表各总得分于手术前后均无明显变化(均P0.05),但二者手术前后均有明显的相关性,VHI总得分值与AHI无明显相关性。结论:上气道多平面扩容术能够解除OSAHS患者上气道的阻塞性因素,同时进行鼻腔和咽腔的塑形,在一定程度上改变了声道共鸣腔,但OSAHS患者嗓音的主观心理听觉评估无明显变化。
[Abstract]:Objective: to investigate the changes of subjective auditory assessment of voice quality in patients with obstructive sleep apnea hypopnea syndrome (OSAHS) before and after multiplanar dilatation of upper airway.Methods: 26 patients with OSAHS were assessed with subjective psychological and auditory factors before and after multiplanar upper airway surgery.Results: the results of subjective questionnaire showed that the nasal regurgitation caused by mild palatopharynx insufficiency occurred in 4 cases after multiplanar expansion of upper airway in 26 cases, and the nasal cavity regurgitation was caused by mild palatopharynx insufficiency in a short period of time.In all cases, 3 cases disappeared within 1 week after operation.) there was a slight increase in nasal sound after operation, especially in 2 cases with progressive disappearance of tonsil within 1 week after operation.) the tonsil 鈪，

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