阻塞性睡眠呼吸暂停综合征的半导体激光悬雍垂腭咽成形术  

Diode laserassisted uvulopalatopharyngoplasty for the \=treatment of obstructive sleep spnea syndrome

作　　者：林忠辉[1] 王廷础[1] 范献良[1] 蔡晓岚[1] 

机构地区：[1]山东医科大学附属医院耳鼻咽喉科

出　　处：《耳鼻咽喉（头颈外科）》1999年第3期146-149,共4页Chinese Arch Otolaryngology-Head Neck Surg

摘　　要：作者１９９７年６月至１９９８年２月对２１例ＯＳＡＳ患者进行了半导体激光悬雍垂腭咽成形术，手术半年以后对所有患者做了睡眠监测随访，以呼吸紊乱指数（ＡＨＩ）下降５０％为有效计算，手术有效率为５７．１４％；另外，对手术后Ｅｐｗｏｒｔｈ嗜睡评分（ＥＳＳ）、呼吸暂停指数（ＡＩ）、ＡＨＩ和最低血氧饱和度（ＬｏｗｅｓｔＳａＯ２）的改善情况做了对照分析，发现ＥＳＳ的下降与ＡＩ和ＡＨＩ的下降程度有显著差异，Ｐ值分别为０．００１９和０．００１５，说明患者术后嗜睡程度的改善不能代表客观指标的改善情况。Abstract Diode laserassisted uvulopalatopharyngoplasty (LAUP) was applied to 21 patients of obstructive sleep apnea syndrome (OSAS) from June 1997 to February 1998.All patients were males,ranging in age from 31 to 62,and the body mass index (BMI) was 285262,apnea hypopnea index (AHI) 6836850,lowest SaO2 (LSaO2) 58126%The followup PSG was performed more than 6 months after surgery.The rate of effectiveness of the 21 cases was 5714% with AHI reduction more than 50%.The reduction of Epworth sleepiness scale (ESS) after LAUP was irrelevant to AHI and apnea index (AI) (P=00015 and 00019 respectively).

关 键 词：半导体激光 综合征 睡眠呼吸暂停 

分 类 号：R563.905[医药卫生—呼吸系统] R766.9[医药卫生—内科学]