UPPP治疗OSAS术后短期主客观疗效评价  

Subjective and objective of evaluation of UPPP in the treatment of obstructive sleep apnea syndrome in short-term follw-up

作　　者：赵燕玲[1] 杨庆文[1] 柳端今[1] 韩德民[1] 胡海红 王军[1] 张罗[1] 葛秀明[1] 

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉科,100730

出　　处：《临床耳鼻咽喉科杂志》1998年第10期457-459,共3页Journal of Clinical Otorhinolaryngology

摘　　要：对接受悬雍垂腭咽成形术（UPPP）的52例阻塞性睡眠呼吸暂停综合征（OSAS）患者术后随诊3～6个月并对其行术前及术后主客观疗效评价。结果表明鼾声改善满意者34例（65．38％）；白天嗜睡及晨起头痛改善者46例（88．46％）。接受术后多导睡眠监测的41例中，呼吸紊乱指数较术前降低50％或以上者19例（46．34％）。术后呼吸暂停持续时间技术前明显缩短（P＜0．005）。认为UPPP术治疗OSAS有一定局限性，术后患者主客观感受有一定差异，故应强调术后客观随诊的重要性。Uvulopalatopharyngoplasty (UPPP) has become a widely accepted method for treating obstructive sleep apnea sgndrome (OSAS). The authors studied 52 OSAS patients treated with UPPP and assessed preand postoperative parameters including subjective clinical analysis and objective evaluation of computer test. 34(65. 38%) OSAS patients felt satisfied of improving snoring sound 3~6 months later following UPPP. 46 patients reported an improvement in their symptoms of daytime somnolence and morning beadache. 41 patients underwant follow-up sleep analysis computer (SAC) study ; 19 of them (46.34% ) had a reduction in AHI more than 50% ;meeting our criteria for surgical success. All 41 patients had a striificant reduction of total duration of apnea at sleep stage. The study suggests that the effectiveness of UPPP in treating OSAS is limited and subjective clinical symptoms following UPPP do not correlate with the objective finding of SAC;so it is importent to stress the significence of follow-up study and necessity to futher therapy.

关 键 词：悬雍垂腭咽成形 阻塞性 睡眠呼吸暂停 综合征 

分 类 号：R563.905[医药卫生—呼吸系统] R766.905[医药卫生—内科学]