阻塞性睡眠呼吸暂停综合征患者的临床特点观察  

A clinical study of obstructive sleep apnea syndrome

作　　者：程靖宁[1] 王娜亚[1] 左和鸣[1] 张小伯[1] 

机构地区：[1]中日友好医院耳鼻喉科,北京100029

出　　处：《中日友好医院学报》2002年第5期279-282,共4页Journal of China-Japan Friendship Hospital

摘　　要：目的 :总结手术治疗阻塞性睡眠呼吸暂停综合征 (OSAS)患者的临床资料 ,以明确各年龄组OSAS患者的临床特点。方法 :将 13a来手术治疗的OSAS患者 2 5 3例按年龄分为 3组 (Ⅰ组 :2 5～ 3 9岁、Ⅱ组 :40～ 5 4岁、Ⅲ组 :5 5～ 69岁 )。分别比较各组的年手术例数、肥胖程度、局部阻塞性因素和术后疗效。结果 :①Ⅰ、Ⅱ组OSAS患者手术例数呈逐年增加趋势。②肥胖者的比例Ⅰ组为 92 .5 % ,Ⅱ组为 84.3 % ,Ⅲ组为 5 7.6%。③Ⅰ组中扁桃体肥大和后弓肥厚最多 (65 .6%、5 0 .5 % ) ,Ⅱ组中后弓肥厚最多 (4 7.2 % ) ,Ⅲ组中软腭过长、悬雍垂肥厚及舌体肥厚最多 (63 .6%、5 7.6%、45 .5 % )。④术后 0 .5a内 3组总有效率分别为 92 .5 %、82 .7%、68.8% ;术后0 .5a以后总有效率分别为 80 %、63 .5 %、43 .8%。结论 :2 5岁～ 5 4岁OSAS患者为近年来接受悬雍垂腭咽成型术的主要群体 ,其手术例数增加与肥胖有关。 2 5岁～ 5 4岁OSAS患者术后疗效明显优于 >5 4岁患者 。Objective:To investigate the clinical characteristics of patients with obstructive sleep apnea syndrome(OSAS)by summarizing the clinical information of one group of OSAS patients who underwent the operation.Methods:From Jan.1987 to May 2000, operating on 253 cases.We divided the patients into 3 groups according to their age (25 39,40 54,55 69).From following 4 aspects,we compared their characteristics:①the number of the operation in each year;②adipose degree;③peripheral obstructive factor;④the curative effect after operations.Results:①The yearly increasing number of operations were displayed in the young and middle age group.②The adipose patients had a ratio in their own group respectively 92.5%,84.3% and 57.6%;③Hypertrophy of the tonsil and pachynsis of the posterior pillar are most common in the young group(65.6%,50.5%),but in the middle age group,pachynsis of posterior pillar is common(47.2%) and the elder group mostly suffered from over length of the soft palate,pachynsis of the uvula and hypertrophy of the tonsil (63.6%,57.6%,45.5%).④ The curative efficiency in half a year after the operation in the three groups were 92.5%,82.7%,68.8%;but after half a year,the curative efficiency of them were 80%,63.5%,43.8%.Conclusion:The young and middle age are the main groups who accept the uvulopalatopharyngoplasty.The increasing of the operation is related with the adiposity.The curative effect of the operation in the young and middle age group is apparently better than that in the elder group.Maybe this situation resulted from the age and the discrepance about the distribution of the peripheral obstructive effect.

关 键 词：阻塞性睡眠呼吸暂停综合征 悬雍垂腭咽成型术 临床特点 疗效 

分 类 号：R766[医药卫生—耳鼻咽喉科]