舌骨悬吊术联合腭垂腭咽成形术治疗阻塞性睡眠呼吸暂停综合征患者的疗效观察  

Hyoid Suspension Combined with Uvulopalatopharyngoplasty in the Treatment of Obstructive Sleep Apnea Syndrome

作　　者：赵海军 田红 宋建涛 ZHAO Hai-jun;TIAN Hong;SONG Jian-tao(Department of Head and Neck Surgery,Central Hospital of Otolaryngology,Weinan Shaanxi,714000)

机构地区：[1]渭南市中心医院耳鼻咽喉头颈外科,陕西渭南714000

出　　处：《医学临床研究》2020年第8期1223-1225,共3页Journal of Clinical Research

摘　　要：【目的】探讨舌骨悬吊术联合腭垂腭咽成形术(UPPP)治疗阻塞性睡眠呼吸暂停综合征(OSAHS)患者的临床疗效。【方法】选取2016年1月至2017年5月在本院诊治的OSAHS患者80例,采用随机数表法分为观察组和对照组,每组40例。对照组采用UPPP治疗,观察组在对照组基础上加用舌骨悬吊术治疗,比较两组患者治疗前后的呼吸暂停低通气指数(AHI)、最低动脉血氧饱和度(LSaO2)、Epworth嗜睡量表(ESS)评分、睡眠呼吸暂停生活质量指数(SAQLI)。【结果】治疗前,两组患者AHI、LSaO2值和ESS评分比较差异无统计学意义(P>0.05);治疗6个月后,观察组患者LSaO2值显著高于对照组(P<0.05),AHI值和ESS评分均显著低于对照组(P<0.05);治疗前,两组患者SAQLI评分中的情感、社会生活、日常互动、症状评分比较差异无统计学意义(P>0.05);治疗6个月后,观察组患者的社会生活、日常互动、症状评分显著高于对照组(P<0.05)。【结论】舌骨悬吊术联合UPPP治疗OSAHS患者疗效显著,可改善OSAHS患者睡眠及生活质量,值得临床推广应用。【Objective】To investigate the effect of uvulopalatopharyngoplasty(UPPP)in patients with obstructive sleep apnea syndrome(OSAHS).【Methods】Eighty patients with OSAHS in our hospital from January 2016 to may 2017 were randomly divided into observation group and control group,40 cases in each group.The control group was treated with UPPP,and the observation group was treated with hyoid suspension on the basis of the control group.The apnea hypopnea index(AHI),minimum arterial oxygen saturation(LSaO2),Epworth Sleepiness Scale(ESS)score and sleep apnea quality of life index(SAQLI)were compared between the two groups before and after treatment.【Results】Before treatment,there was no significant difference in AHI,LSaO2 and ESS scores between the two groups(P>0.05);after 6 months of treatment,the LSaO2 value of the observation group was significantly higher than that of the control group(P<0.05),AHI value and ESS score were significantly lower than those of the control group(P<0.05);before treatment,there was no significant difference in emotion,social life,daily interaction and symptom scores in SAQLI score between the two groups.After 6 months of treatment,the social life,daily interaction and symptom scores of the observation group were significantly higher than those of the control group(P<0.05).【Conclusion】Hyoid suspension combined with UPPP in the treatment of OSAHS patients has a significant effect,can improve the sleep and quality of life of OSAHS patients,worthy of clinical application.

关 键 词：睡眠呼吸暂停 阻塞性/外科学 综合征 咽/外科学 腭/外科学 

分 类 号：R56[医药卫生—呼吸系统]