鼻腔扩容术治疗以鼻塞为主的阻塞性睡眠呼吸暂停低通气综合征临床分析

发布时间：2019-02-23 16:07

【摘要】：目的:探讨鼻腔扩容术在治疗以鼻塞为主的阻塞性睡眠呼吸暂停低通气综合征(OSAHS)中的意义。方法:在鼻内镜下对48例伴鼻腔结构异常的OSAHS患者施行鼻腔扩容术,观察患者术后主客观症状改善情况。结果:术后12个月PSG复查,治愈60.4%(29/48),显效20.8%(10/48),有效8.3%(4/48),无效10.4%(5/48)。全部患者呼吸暂停、低通气、LSaO2和嗜睡程度明显改善,鼻塞症状明显减轻,唯有鼾声改善不甚明显。结论:鼻腔扩容术治疗以鼻塞为主的OSAHS疗效较好,其适应证是伴有鼻塞症状的OSAHS和上呼吸道阻力综合征的患者,根据患者具体病情实行个体化手术治疗可获得良好的临床效果。手术应以纠正鼻腔结构异常、调整两侧气流的对称性分布为主,以维系正常通气功能。
[Abstract]:Objective: to investigate the significance of nasal cavity dilatation in the treatment of obstructive sleep apnea hypopnea syndrome (OSAHS). Methods: nasal cavity dilatation was performed on 48 OSAHS patients with abnormal nasal cavity structure under nasal endoscope, and the improvement of subjective and objective symptoms was observed. Results: 12 months after PSG, 60.4% (29 / 48) were cured, 20.8% (10 / 48) were significantly improved, 8.3% (4 / 48) were effective, and 10.4% (5 / 48) were ineffective. In all patients, apnea, hypopnea, LSaO2 and somnolence were significantly improved, nasal congestion was alleviated, but snoring was not significantly improved. Conclusion: nasal cavity dilatation is effective in the treatment of OSAHS with nasal congestion. The indications are OSAHS with nasal congestion and upper respiratory resistance syndrome. Individualized operation can obtain good clinical effect according to the specific condition of the patients. In order to maintain the normal ventilation function, the main operation should be to correct the abnormal structure of nasal cavity and adjust the symmetrical distribution of airflow on both sides.
【作者单位】：四川省人民医院耳鼻咽喉科;
【分类号】：R766

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