低温等离子射频治疗阻塞性睡眠呼吸暂停低通气综合征合并变应性鼻炎

Clinical Analysis of Low-Temperature Plasma Radio Frequency Treatment For Osahs Complicated With Allergic Rhinitis

目的观察低温等离子射频治疗阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea-hypopneasyndrome,OSAHS)合并变应性鼻炎的疗效。方法对2010年1-5月收治的42例OSAHS合并变应性鼻炎患者,采用低温等离子射频双下鼻甲减容、鼻腔内蝶腭神经及筛前神经末梢阻滞,并配合鼻中隔成形等手术。使用Epworth嗜睡评分量表(epworth sleepiness scale,ESS)和视觉模拟评分法(visual analogue scale,VAS)对治疗前及治疗3个月后的总体感受评分。结果 ESS评分与VAS评分均符合正态分布,手术前、后ESS评分[(14.22±4.21)分,(6.78±4.12)分]与VAS评分[(8.34±2.72)分,(3.96±1.02)分]差异有统计学意义(P<0.05)。结论低温等离子射频治疗OSAHS合并变应性鼻炎疗效较好。

Objective To observe the clinical effect of treatment by low-temperature plasma radio frequency on obstructive sleep apnea-hypopnea syndrome（OSAHS） complicated with allergic rhinitis.Methods A total of 42 patients with OSAHS complicated with allergic rhinitis between January 2010 and May 2010 were chosen.All of the patients were treated by low-temperature plasma radio frequency nerve block,concha nasalis inferior ablation and other operations such as nasal septal construction.The nerve terminals of sphenopalatine nerve and anterior ethmoid nerve were blocked by ablation.Epworth sleepiness scale（ESS） and visual analogue scale（VAS） were used to estimate the curative effects.Results The results of ESS and VAS were consistent with gaussian distribution.There were statistical significant difference between the scores of pre-and post-operation（P〈0.05）.Conclusion The low-temperature plasma radio frequency treatment for OSAHS complicated with allergic rhinitis is easy,safe and efficient