鼻腔扩容术治疗阻塞性睡眠呼吸暂停低通气综合征临床疗效分析  

Analysis of clinical efficacy of ventilation expansion techniques in surgical treatment of obstructive sleep apnea hypopnea syndrome

作　　者：李冬[1] 邓萍萍[1] 樊亮[1] 张娟[1] 李立锋[2] 韩德民[2] 

机构地区：[1]荆门市第一人民医院耳鼻咽喉头颈外科,湖北荆门448000 [2]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京100005

出　　处：《中国医学文摘（耳鼻咽喉科学）》2017年第4期176-178,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的探讨鼻腔扩容技术在治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)中的意义。方法以鼻腔扩容技术理论为基础,对伴鼻腔结构异常的OSAHS患者施行鼻腔扩容手术,观察患者术后主客观症状改善情况。结果鼻腔扩容术可以有效减轻OSAHS患者的鼻堵和嗜睡症状,并提高了最低血氧饱和度。部分患者虽然手术前后呼吸暂停低通气指数(AHI)存在边缘性统计学差异,但术后AHI仍然较高,没有下降到正常水平。结论鼻腔扩容手术可以改善OSAHS患者鼻塞及白天嗜睡、睡眠打鼾等相关睡眠主观症状,并在一定程度上改善OSAHS患者的阻塞性睡眠呼吸暂停的严重程度,鼻腔扩容术提出了治疗OSAHS的新观念,但应适当选择手术适应证。Objective To explore the significance of nasal cavity ventilation expansion in the treatment of obstructive sleep ap-nea hypopnea syndrome（OSAHS）. Methods Based on the theory of nasal cavity ventilation expansion techniques,fifty OSAHS patients with nasal structural abnormalities underwent the nasal cavity ventilation expansion surgery. Results Nasal blockage and lethargy were effectively reduced and the lowest oxygen saturation increased after the surgery. However,AHI had a marginally significant difference from that before the operation,it was still high and not dropped to the normal level. Conclusion In OSAHS patients,nasal cavity ventilation expansion techniques can significantly improve the subjective severity of sleepy and snoring. It also can improve these verity of apnea and hypopnea in some patients with OSAHS to some extent. Nasal cavity ventilation expansion techniques provide a new concept of therapy in treatment of OSAHS and should be performed individually.

关 键 词：扩容术 阻塞性睡眠呼吸暂停低通气综合征 鼻腔 

分 类 号：R766.43[医药卫生—耳鼻咽喉科]