鼻腔扩容术治疗伴有鼻塞阻塞性睡眠呼吸暂停低通气综合征的临床效果观察  

Clinical Effect of Nasal Cavity Expansion in the Treatment of Obstructive Sleep Apnea Hypopnea Syndrome With Nasal Obstruction

作　　者：朱丽敏[1] 周瑾[1] 代长青[1] 

机构地区：[1]河南省漯河市中心医院耳鼻喉科,462000

出　　处：《中国卫生标准管理》2016年第3期47-48,共2页China Health Standard Management

摘　　要：目的观察鼻腔扩容术治疗伴有鼻塞阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的临床效果。方法选择我院72例伴有鼻塞的OSAHS患者,随机分为对照组(36例)和观察组(36例)。对照组患者行传统悬雍垂腭咽成形术(UPPP)治疗;观察组行鼻腔扩容术治疗。比较两组患者手术时间、术中出血量和术后住院时间,记录两组术后并发症发生情况,观察两组治疗效果。结果观察组手术时间、术中出血量和术后住院时间均少于对照组;术后观察组AHI、LSa O2、鼾声指数及ESS评分、总鼻阻力与本组治疗前和对照组治疗后比较差异有统计学意义。结论鼻腔扩容术治疗伴有鼻塞OSAHS能有效降低患者鼻阻力,改善鼻腔通气功能,可作为临床治疗鼻塞伴OSAHS的优选术式。Objective To study the clinical effect of nasal cavity expansion in the treatment of obstructive sleep apnea hypopnea syndrome（OSAHS）with nasal obstruction. Methods A total of 72 OSAHS patients with cnasal obstruction who accepted treatments in our hospital were taken as the clinical research objects. Patients in the control group were treated with traditional uvulopalatopharyngoplasty（UPPP）,the other patients in the observation group were treated with nasal cavity expansion. After treatments,the clinical effects and recorded postoperative complications of these two groups were observed,and also compared their operation time,intra-operative blood loss and postoperative hospital stay. Results The operation time,intra-operative blood loss and postoperative hospital stay of the observation group were less than those of the control group,after treatment,the AHI,LSa O2,snoring index,ESS score and total nasal resistance of the observation group compared with the preoperative data of the observation group and postoperative data of the control group,the differences were statistically significan. Conclusion Nasal cavity expansion treatment for OSAHS patients with nasal obstruction can effectively reduce their nasal resistance and improve their nasal ventilation function.

关 键 词：鼻腔扩容术 阻塞性睡眠呼吸暂停低通气综合征 多导睡眠检测 

分 类 号：R765[医药卫生—耳鼻咽喉科]