阻塞性睡眠呼吸暂停低通气综合征的个体化治疗  

The individual treatment for obstructive sleep apnea hypopnea syndrome

作　　者：秦永欣[1] 刘吉祥[1] 刘鸿源[1] 王林[1] 宋富存[1] 

机构地区：[1]天津市人民医院耳鼻咽喉科,300121

出　　处：《中国中西医结合耳鼻咽喉科杂志》2012年第4期286-289,279,共5页Chinese Journal of Otorhinolaryngology in Integrative Medicine

基　　金：天津市卫生局科研基金课题(07KY21)

摘　　要：目的本研究旨在通过阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的个体化治疗,提高OSAHS的治疗效果。方法本研究以单纯行鼻部手术、单纯行软腭射频消融术、行鼻部手术联合软腭射频消融术、单纯行悬雍垂腭咽成形术(UPPP)、分期行鼻部手术及UPPP手术、同期行UPPP及舌骨悬吊术或舌根射频消融术及单纯行口腔矫治器治疗等7种方案治疗OSAHS,分别设组、设计其适应证、研究其疗效。结果实验组186例,治愈率41.40%,显效率61.82%,有效率84.40%;对照组110例,治愈率25.45%,显效率49.09%,有效率72.72%,经统计学处理,χ~2值分别为7.08、6.83、7.72,P均<0.01,证明实验组疗效好于对照组。结论 OSAHS的个体化治疗可以明显提高OSAHS的治疗效果。Objective To improve the treatment effects for obstructive sleep apnea hypopnea syndrome through personal treatment. Method There were 7 protocols for treating OSAHS： nasal operation only, radiofrequency ablation of soft palatine only, nasal operation with combination of radiofrequency ablation of soft palatine, uvu lopalatopharyngoplasty（UPPP）, nasal operation with UPPP by stage, synchronic UPPP and hyoid suspension or radiofrequency ablation for lingual root, and oral appliance only. We discussed indications and effect for each protocol. Result In 186 patients the success rate was 41.40%, better responding rate was 61.82%, poor responding rate was 84.40%. And in the control group the success rate was 25.45%, better responding rate was 49.09%, poor responding rate was 72.72%. The x2 value was 7.08, 6.83, 7.72 respectively, with significant differences between the two groups （P^0.01）. Conclusion The individual treatment is necessary for treating OSAHS in order to improve the effect.

关 键 词：睡眠呼吸暂停低通气综合征 个体化 适应证 治疗 低氧血症 

分 类 号：R766[医药卫生—耳鼻咽喉科]