重度OSAHS多平面手术治疗效果观察

The effects of multiplanar surgery on severe obstructive sleep apnea hypoventilation syndrome

目的探讨多平面手术治疗重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的临床疗效。方法选取60例重度OSAHS患者,随机分为观察组和对照组,对照组仅采用悬雍垂腭咽成形术(UPPP),观察组采用多平面手术,比较两组患者治疗的有效率、睡眠呼吸暂停通气指数(AHI)、最低血氧饱和度(LSaO2)、氧减指数(ODI)、Epworth嗜睡评分(ESS)。结果对照组治疗总有效率为56.7%,观察组总有效率为86.7%,观察组疗效明显优于对照组(P<0.05);观察组AHI、LSaO2、ODI和ESS等指标明显优于对照组(P<0.05)。结论采用多平面手术治疗重度OSAHS可提高临床疗效,值得临床推广使用。

[ Objective ] To evaluate the clinical efficacy of multiplanar operation on severe obstructive sleep apnea hypoventilation syndrome（OSAHS）. [ Methods ] 60 patients of OSAHS were randomly divided into two groups. Multiplanar surgery was used in observation group and UPPP was used in control group. The clinical efficacy, AHI, LSaO2, ODI and ESS were compared between the two groups. [ Results ] The efficiency of clinical treatment was 86.7% in observation group, respectively, as compared with those of 56.7% in control group, showed significant differences between the two groups （P〈0.05）. The AHI, LSaO2, ODI and ESS of observation group were significantly superior to control group. The difference was statistically significant （P〈0.05）. [ Conclusion ] Using multiplanar surgery treatment of OSAHS can improve curative effect, worth clinical promotion.