低温射频消融术后配合持续气道正压通气治疗重度阻塞性睡眠呼吸暂停低通气综合征的临床疗效评价

目的:比较射频消融术后配合持续气道正压通气(CPAP)与射频消融手术治疗、单纯CPAP治疗重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的效果,评估三种治疗方法的临床效果。方法:64例重度OSAHS患者,分为射频消融手术、单纯CPAP和射频消融手术后配合CPAP治疗三组,观察治疗前后患者临床症状、多导睡眠图(PSG)检查主要指标变化及患者治疗依从性。结果:治疗6个月后,三组患者睡眠打鼾、呼吸暂停等临床症状均较治疗前改善;射频消融手术组有效;单纯CPAP治疗和手术后配合CPAP治疗组显效;手术后配合CPAP治疗组患者治疗依从性和睡眠结构明显改善,较单纯射频消融手术和单纯CPAP治疗组有统计学意义。结论:射频消融手术后配合CPAP治疗重度OSAHS患者临床症状、PSG检查结果、治疗依从性均优于单纯治疗组。

Objective：To Assess the clinical effect of continuous positive airway pressure ventilation after plasm radiofrequency at low temperature in treatment of severe obstructive sleep apnea syndrome. Appraises three methods of treatment＇s clinical effect. Methods：64 cases in our hospital with severe OSAHS were randomly divided into the groups of Plasm radio frequency surgery, CPAP treament group and post - operative treatment with CPAP group. To summarize patients＇s clinical symptom, polysomnography and complication. Results： The clinical features such as sleep snort, apnea were not significany different among the three groups, it showed significant improvement after 6 months. The radio frequency ablation surgery group is effective ; After pure CPAP treatment and surgery, coordinates the CPAP treatment group appearance;CPAP treatment after surgery markedly improved. Patients with compliance, sleep structure CPAP treatment after surgery more significant. Conclusions：With CPAP treatment of plasm radiofrequency at low temperature in OSAHS is effective in decreasing AHI and improving the oxygen saturation of their nasal patency.