体位干预治疗阻塞性睡眠呼吸暂停综合征和单纯性鼾症的疗效分析

Indications and efficacy of postural intervention in the treatment of obstructive sleep apnea syndrome and simple snoring

目的探讨体位治疗阻塞性睡眠呼吸暂停综合征(OSAS)和单纯性鼾症(simple snoring,SS)的适应证和疗效。方法对确诊为轻中度OSAS 25例和SS 16例患者进行体位干预治疗。干预前和干预后1个月各做一次多导睡眠图(PSG)监测及Epworth嗜睡量表(ESS)评分。结果 OSAS患者体位治疗1个月后睡眠呼吸紊乱指数(AHI)较治疗前显著降低(P<0.01),治疗后的醒后收缩压和舒张压均明显低于治疗前(P<0.01),ESS评分也较治疗前得到改善(P<0.05)。SS的睡眠打鼾时间和打鼾指数减少(P<0.01)。结论体位治疗轻中度OSAS和SS有较好的疗效。

Objective To investigate indications and efficacy of the postural treatment in obstructive sleep apnea syndrome and simple snoring （OSAS）. Methods Twenty-five patients with mild to moderate OSAS and 16 patients wifll simple snoring were treated by postural intervention. Before the intervention and one month after tile in- tervention, a PSG and ESS score were made in two groups. Results After treatment, AHI decreased compared with pretreatment （ P 〈 0. 05 ）, Systolic and diastolic blood pressure before bedtime and and after awaking decreased com- pared with pretreatment （ P 〈 0.05 ）. ESS was also improved compared with pretreatment （ P 〈 0. 05 ）, the snoring time and snoring index decreased in simple snoring group （ P 〈 0. 05 ）. Conclusion Postural treatment for mild to moderate obstructive sleep apnea syndrome and simple snoring are effective.