鼻外科手术联合上气道射频消融术治疗轻中度阻塞性睡眠呼吸暂停低通气综合征

发布时间：2018-06-15 01:48

本文选题：打鼾 + 射频消融　；参考：《临床耳鼻咽喉头颈外科杂志》2014年03期

【摘要】：目的:探讨鼻外科手术联合上气道射频消融术在治疗伴慢性鼻塞的轻、中度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的应用及疗效影响因素。方法:采用鼻外科手术联合上气道低温射频消融术对103例伴有慢性鼻塞的轻、中度OSAHS患者进行治疗。其中89例患者术后随访≥6个月,观察指标包括:BMI、Epworth嗜睡量表(ESS)评分、鼾声评分、AHI、LSaO2(%)及血氧饱和度低于0.90的时间占总睡眠时间百分比(CT90%)。结果:手术后AHI从(18.67±9.48)下降到(9.22±7.18),平均LSaO2从(0.83±0.08)上升至(0.92±0.06),ESS评分从(8.74±5.67)下降到(5.12±3.74),鼾声评分从(7.16±2.85)下降到(3.56±2.26),CT90从(18.64±12.98)下降到(10.73±8.29),各相关测量值的变化均具有统计学意义(P0.01)。手术成功定义为AHI10次/h且较术前下降50%,成功率75.3%(67/89)。围手术期无严重并发症发生。结论:鼻外科手术联合上气道低温射频消融术能有效缓解打鼾及改善伴慢性鼻塞的轻、中度OSAHS患者的生活质量。
[Abstract]:Objective: to investigate the application of nasal surgery combined with upper airway radiofrequency ablation in the treatment of patients with mild and moderate obstructive sleep apnea hypopnea syndrome (OSAHS) with chronic nasal obstruction. Methods: 103 cases of mild and moderate OSAHS with chronic nasal obstruction were treated by nasal surgery combined with upper airway hypothermia radiofrequency ablation. 89 patients were followed up for more than 6 months after operation. The indexes of observation included the score of 1: BMI-Epworth sleepiness scale (ESS), the score of snoring (AHIL SaO2) and the percentage of time of blood oxygen saturation less than 0.90% of total sleep time. Results: after operation, the AHI decreased from 18.67 卤9.48 to 9.22 卤7.18, and the mean LSaO2 increased from 0.83 卤0.08 to 0.92 卤0.06, the ESS score decreased from 8.74 卤5.67 to 5.12 卤3.74, and the snoring score decreased from 7.16 卤2.85 to 3.56 卤2.26 CT90 from 18.64 卤12.98 to 10.73 卤8.29. The changes of the relevant measurements were statistically significant (P 0.01). Surgical success was defined as AHI 10 / h and decreased by 50%, and the success rate was 75.3% (67 / 89). No serious complications occurred during the perioperative period. Conclusion: nasal surgery combined with upper airway hypothermia radiofrequency ablation can effectively relieve snoring and improve the quality of life of mild and moderate OSAHS patients with chronic nasal congestion.
【作者单位】：天津市人民医院耳鼻咽喉头颈外科;
【分类号】：R766

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