鼻腔扩容技术联合悬雍垂腭咽成形术对阻塞性睡眠呼吸暂停低通气综合征患者认知功能影响的探讨  

The study of cognitive function in patients with obstructive sleep apnea hypopnea syndrome influenced by uvulopalatopharyngoplasty combined with expansion of nasal cavity

作　　者：董维刚[1] 郭宏庆[1] 保国华[1] 马瑞霞[1] 崔红燕[1] 于洋[1] 李国栋[1] 

机构地区：[1]宁夏医科大学总医院耳鼻咽喉头颈外科,宁夏银川750004

出　　处：《中国内镜杂志》2013年第2期139-141,共3页China Journal of Endoscopy

摘　　要：目的探讨鼻窦内镜下鼻腔扩容技术联合悬雍垂腭咽成形术治疗对中、重度阻塞性睡眠呼吸暂停低通气综合征患者认知功能的影响。方法对照组30例进行认知功能诊断量表(MMSE)的检查,同时对实验组30例中、重度阻塞性睡眠呼吸暂停综合征(OSAHS)患者分别于手术治疗前、后进行MMSE检查和多导睡眠监测(PSG)检查。结果手术治疗后,实验组患者与术前比较,在MMSE总分、注意力及计算力和定向力几个方面无区别,差异无显著性(P>0.05),而在记忆力和回忆力两个方面有区别,差异有显著性(P<0.05)。结论鼻腔扩容技术联合悬雍垂腭咽成形术治疗有助于中、重度OSAHS患者认知功能的恢复。[Objective] To study cognitive function in patients with moderate and severe obstructive sleep apnea hyperpnoea syndrome influenced by surgery. [Methods] Mini mental state examination （MMSE） and polysomnography were conducted to 30 patients with OSAHS （OSAHS group） and 30 healthy adults （control group）. [Results] After the surgery, the scores of remembrance and recall were significantly higher than those before the surgery （P 0.05）. [Conclusion] The patients with OSAHS whose cognitive function have improvement after the surgery.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 认知功能 悬雍垂腭咽成形术 鼻窦内镜手术 鼻腔扩容术 

分 类 号：R766[医药卫生—耳鼻咽喉科]