单独鼻腔手术治疗阻塞性睡眠呼吸暂停低通气综合征的远期疗效观察

发布时间：2018-05-09 12:44

本文选题：睡眠呼吸暂停低通气综合征 + 阻塞性　；参考：《临床耳鼻咽喉头颈外科杂志》2014年12期

【摘要】：目的:探讨单独鼻腔手术治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的远期疗效。方法:回顾分析23例OSAHS并伴有鼻部相关疾病的患者,经PSG和Epworth嗜睡评估表(ESS)确诊,只行鼻腔手术,其中包括鼻中隔矫正术、鼻甲成形术、鼻窦开放术。术后随访1年以上,PSG和ESS检查评估疗效。结果:23例患者术后随访12~39个月,平均(22.64±9.13)个月,患者主观症状改善明显,ESS分值从13.68降至8.14(t=9.429,P0.01)。客观检查方面,患者术前术后平均AHI和LSaO2无明显变化(P0.05)。23例中5例治疗有效,总有效率为21.74%(5/23),鼻腔是主要阻塞部位;其余18例患者无效。结论:OSAHS患者尤其是中、重度患者,上气道往往存在多个阻塞平面,单独行鼻腔手术适合于阻塞平面主要位于鼻腔的患者。
[Abstract]:Objective: To investigate the long-term efficacy of a single nasal cavity operation for obstructive sleep apnea hypopnea syndrome (OSAHS). Methods: a retrospective analysis of 23 patients with OSAHS associated with nasal related diseases was diagnosed by PSG and Epworth sleepiness assessment table (ESS), and only nasal surgery was performed, including nasal septum correction, rhinoplasty, and paranasal sinus surgery. PSG and ESS were followed up for more than 1 years. Results: 23 cases were followed up for 12~39 months, average (22.64 + 9.13) months, subjective symptoms improved obviously, ESS scores decreased from 13.68 to 8.14 (t=9.429, P0.01). There were no significant changes in AHI and LSaO2 in patients before and after operation (P0.05), 5 cases were effective in 5 cases. The efficiency was 21.74% (5/23), the nasal cavity was the main blocking site and the other 18 patients were ineffective. Conclusion: there are often multiple obstruction planes in the OSAHS patients, especially in the moderate, severe, upper airway, and the nasal cavity operation is suitable for the patients in the obstruction plane, which is mainly located in the nasal cavity.

【作者单位】：海军总医院耳鼻咽喉头颈外科;
【分类号】：R766

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