阻塞性睡眠呼吸暂停低通气综合征治疗65例研究

目的探讨不同方式治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的临床效果。方法回顾65例经不同方式治疗OSAHS患者的临床资料,非手术治疗患者随访半年,手术患者随访一年。对所有治疗方式的临床效果进行比较。结果 CPAP较其他治疗方法显效率更高,治疗更明显(P<0.05);鼻部手术及UPPP治疗有一定效果,尤其与微波治疗相比差异显著(P<0.05),其余各组两两比较差异不大(P>0.05)。结论 OSAHS病因复杂,有时各种治疗手段联合应用才能达到良好的治疗效果。考虑手术时要严格遵循手术适应症,对于不愿接受手术的重度OSAHS患者,CPAP作为无创治疗效果较好。

Objective To study the different treatment obstructive sleep apnea hypopnea syndrom（OSAHS） clinical effect.Methods Retrospective 65 patients with different treatment the clinical data of OSAHS patients,non-operative therapy patients were followed up for half a year,followed patients who underwent surgical for one year.All treatments to compare the clinical effect.Results Compared with other treatment FaXian CPAP therapy,and higher efficiency fang good effect is obvious（P0.05）.Nose surgery and UPPP treatment has the certain effect,especially compared with microwave treatment significant difference（P0.05）,and the rest of the binary comparison groups（P0.05 significant difference.Conclusion OSAHS causes complex,sometimes various treatments combined aPPlication could get better therapeutic effect.Consider surgery should be strictly follow when operated indication,for not willing to accept the severe OSAHS patients,surgical treatment as a noninvasive CPAP effect is good.