便携睡眠监测阻塞定位仪在悬雍垂腭咽成形术前评估中的作用  

Preoperative assessment of UPPP with a portable apneagraph

作　　者：黄夏飞[1] 刘伟志[2] 肖宽林[3] 

机构地区：[1]广州医学院第一附属医院广州呼吸疾病研究所,广州510120 [2]暨南大学医学院第六附属医院江门市五邑中医院,广东江门529000 [3]复旦大学附属眼耳鼻喉科医院耳鼻咽喉-头颈外科,上海200031

出　　处：《山东大学学报（医学版）》2010年第9期127-130,共4页Journal of Shandong University:Health Sciences

摘　　要：目的研究便携睡眠监测阻塞定位仪(AG)在悬雍垂腭咽成形术(UPPP)前评估中的临床价值。方法对经Friedman临床分期系统检查认为有UPPP适应证的21例成年阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者在术前2d内行AG检查。结果 1.AG能自动分析得出各项主要睡眠相关呼吸紊乱指标和阻塞模式;2.阻塞模式绝大多数为上部和下部联合阻塞,上部阻塞构成比大于50%的有16例(76.19%),下部阻塞构成比大于50%的有5例(23.81%)。3.AG判定的腭后区阻塞百分比与Friedman临床分期之间无明确相关性。结论 AG具有分析睡眠相关呼吸紊乱事件和判定上气道阻塞水平的双重功能,对选择UPPP手术患者有重大的指导意义。Objective To evaluate the clinical value of a portable apneagragh in the preoperative assessment of uvulopala-topharyngoplasty（UPPP） .Methods Twenty-one patients with obstructive sleep apnea-hypopnea syndrome （OSAHS） were subjected to UPPP by the Friedman staging system.Two days before UPPP,all underwent a portable apneagraph study in the ward.Results 1.The apneagraph provided detailed parameters about sleep-related breathing disorders and the level of upper airway obstruction.2.Most of the patients had both upper and lower obstruction.Sixteen cases（76.19% ） showed predominantly upper pharyngeal obstruction and five cases（23.81% ） showed predominantly lower pharyn-geal obstruction.3.There was little correlation between the retropalatal obstruction localized by the apneagraph and the Friedman＇s stages.Conclusion The portable apneagraph can analyze sleep-related breathing disorders and identify the level of upper airway obstruction.It has great directive significance in selecting patients for UPPP.

关 键 词：睡眠呼吸暂停 阻塞性 测压法 悬雍垂腭咽成形术 

分 类 号：R766.7[医药卫生—耳鼻咽喉科]