阻塞型睡眠呼吸暂停低通气综合征治疗进展

Advances in Treatment of Obstructive Sleep Apnea Hypopnea Syndrome

阻塞型睡眠呼吸暂停低通气综合征(OSAHS)目前的治疗方法已经得到较快的发展,切除部分腭咽肌的改良UPPP术已经在原有H-UPPP的基础上保证了疗效,并且使患者术后切口开裂的并发症明显降低。射频消融术在治疗OSAHS方面已经得到很好的普及,如多平面等离子消融术可以治疗各分级的OSAHS患者,并且较传统手术拥有治疗部位均匀、无碳化、无粘连组织、减轻组织水肿、对周围组织损伤小、最大限度保留黏膜功能、在术中还可用于止血等优点。中医治疗OSAHS已经有很大进展,是一种不可忽视的价格低廉、无副作用的重要治疗手段,若条件允许的情况下,在应用手术和CPAP的基础上,应结合中医药疗法。

The current treatment methods of obstructive sleep apnea-hypopnea syndrome （ OSAHS ） have been rapidly developed. Removal of part Of the pharyngeal muscles UPPP surgery has improved the basis of the original H-UPPP on ensuring the efficacy and the patient＇s postoperative wound complications were significantly reduced. Radiofrequency ablation in the treatment of OSAHS has already been well used. Such as multi-planar plasma ablation to treat patients with OSAHS each grade, and even more traditional surgical treatment site has no carbonation, no adhesion tissue, reducing tissue edema, less damage to surrounding tissue, maximizing retention mucosal function. It also can be used to stop bleeding during surgery and so on. Traditional Chinese medicine treatment of OSAHS has great progress, which is the low price, no side effects. If conditions permit, the application on the basis of the surgery and CPAP should be combined with TCM therapy.