Pillar植入系统治疗阻塞性睡眠呼吸暂停低通气综合征的临床疗效观察

The effect of the pillar implant system in the management of snoring and OSAHS patients

目的:探讨Pillar植入系统治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者和单纯鼾症患者的疗效。方法:46例鼾症患者经PSG监测分为轻至中度OSAHS、重度OSAHS和单纯鼾症3组,术前及术后6个月均进行鼾声VAS评分和PSG监测。结果:术后随访6个月,Pillar植入系统对于轻至中度OSAHS患者和单纯鼾症患者打鼾的改善显著,而对于重度OSAHS患者疗效较差。28例轻至中度OSAHS患者治愈4例,显效10例,有效5例,无效9例,总有效率达67.9%;AHI由术前的17.03±10.63降至术后6个月的11.17±9.52。6例重度OSAHS患者有效1例(16.7%),AHI由术前的62.93±9.21降至术后6个月的55.42±13.77。结论:Pillar植入系统对于单纯鼾症患者可以有效地改善打鼾,对于轻至中度OSAHS患者的疗效较好,而对重度OSAHS患者的疗效较差。

Objective： To explore the effect of the pillar implant system in the management of snoring and OSAHS patients. Method：All patients are divided into three groups by PSG： mild to moderate OSAHS, severe OSAHS and snoring. PSG and snoring visual analogue scale （VAS） were assessed preoperatively and postopera tively, and the postoperative PSG was performed after 6 months. Result： The values of VAS in all of the patients were reduced. AHI was reduced from 17.03±10.63 preoperatively to 11.17±9.52 postoperatively in 28 patients with mild to moderate OSAHS and the total effective ratio was 67.9%. AHI was reduced from 62.93 ±9.21 preoperatively to 55.42±13.77 postoperatively in 6 patients with severe OSAHS and the effective ratio was 16.7%. Conclusion：The pillar implant system had a significant effect on mild to moderate OSAHS patients.