腭咽成形术后咽腔与颏舌肌锻炼治疗阻塞性睡眠呼吸暂停低通气综合征的疗效观察  

Impact of pharyngeal cavity and genioglossus exercise on therapeutic effect of uvulopalatopharyngoplasty for obstructive sleep apnea-hypopnea syndrome

作　　者：梁亚 LIANG Ya(Department of Otorhinolaryngology,Affiliated Hospital of Guizhou Medical University,Guiyang 550004,China)

机构地区：[1]贵州医科大学附属医院耳鼻咽喉科,贵州贵阳550004

出　　处：《中国耳鼻咽喉颅底外科杂志》2022年第3期47-50,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的 探讨腭咽成形术后锻炼咽腔与颏舌肌对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)疗效的影响。方法 2018年1月—2020年6月将收治的80例行腭咽成形术的OSAHS患者采用数字随机表法分为两组,每组各40例;A组实施改良悬雍垂腭咽成形术治疗,B组在手术治疗基础上进行咽腔与颏舌肌锻炼,比较两组的总有效率、睡眠呼吸暂停低通气指标、睡眠状况指标及生活质量评分。结果 B组的总有效率为92.50%,高于A组75.00%(P<0.05)。治疗后,B组的夜间血氧饱和度高于A组(P<0.05),B组的低通气指数、呼吸暂停指数、呼吸暂停低通气指数均低于A组(P<0.05),B组的实际睡眠时长较A组更长(P<0.05),B组的匹兹堡睡眠质量指数(PSQI)评分较A组更低(P<0.05),B组的生活质量评分高于A组(P<0.05)。结论 在手术基础上采取咽腔与颏舌肌锻炼方法对OSAHS进行治疗可有效减轻患者夜间睡眠呼吸暂停低通气状况,改善其睡眠状况,使其生活质量提升,疗效显著。Objective To explore the impact of pharyngeal cavity and genioglossus exercise on the therapeutic effect of uvulopalatopharyngoplasty(UPPP) for obstructive sleep apnea-hypopnea syndrome(OSAHS). Methods From Jan 2018 to June 2020, 80 patients with OSAHS were randomly divided into two groups(40 cases in each group). The patients of group A received modified UPPP, while those of group B received pharyngeal cavity and genioglossus exercise after UPPP. The total effective rate, sleep apnea hypopnea index, sleep status index and quality of life score of the two groups were compared. Results The total effective rate of group B was 92.50%, which was higher than that of group A(75.00%, P<0.05). After treatment, the nocturnal oxygen saturation in group B was higher than that in group A(P<0.05), while the hypopnea index, apnea hypopnea index and apnea hypopnea index in group B were lower than those in group A(all P<0.05). The actual sleep duration of group B was longer than that of group A(P<0.05), and the Pittsburgh sleep quality index(PSQI) score of group B was lower than that of group A(P<0.05). The quality of life score of group B was higher than that of group A(P<0.05). Conclusion On the basis of UPPP, pharyngeal cavity and genioglossus exercise can effectively reduce the nocturnal sleep apnea and hypopnea of OSAHS patients, improve their sleep status and quality of life.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 腭咽成形术 咽腔与颏舌肌锻炼 

分 类 号：R766.4[医药卫生—耳鼻咽喉科]