全麻下悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停低通气综合征的临床意义

Clinical Significance of Uvulopalatopharyngoplasty Under General Anesthesia for Obstructive Sleep Apnea Hypopnea Syndrome

目的:探讨悬雍垂腭咽成形术(UPPP)治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的临床意义。方法:对悬雍垂腭咽成形扩大咽腔,改善上气道的有效通气,治疗OSAHS。结果:术后随访1年,术后79%患者睡眠呼吸状态明显改善,有21%患者出现开放性鼻音,咽异感症及进流食返呛入鼻腔等症状。另外部分患者再次出现轻微的打鼾症状,尤以酗酒后加重。结论:UPPP术后,可明显改善睡眠呼吸状态,提高睡眠的有效率,可以改变因睡眠有效率降低而造成的一些病理性改变,如心、脑、血管疾病,白天嗜睡、头痛头晕、精力不集中、记忆力下降等症状。

Objective： To investigate the clinical significance of OSAHS treated with UPPP. Methods： It was our study that OSAHS was treated by UPPP. Result： 79% patients improved obviously with the state of sleep apnea. 21% patients show the symptom such as nasal is opened, throat is comfortable, food flow also the noise. Extraly, the part of patients had the slight symptom of snore, after drinked. Conclusion：After operation for UPPE it is very obvious that the state of sleep apnea and the effect of sleep were improved, it maybe change the medical cases became the effect of sleep was reduced, it shows the symptom such as, the illness of angiocarpy and blood vessel of brain, sleepness in the daytime, the feeling of dizziness, the lack of concentration and the decline of memory.