多学科专家组诊疗模式在阻塞性睡眠呼吸暂停低通气综合征中的应用

The Application of Multi-Disciplinary Team Treatment Mode in Obstructive Sleep Apnea Hypopnea Syndrome

目的将多学科专家组诊疗模式(MDT)应用于阻塞性睡眠呼吸暂停低通气综合征中,探讨其临床效果,为阻塞性睡眠呼吸暂停低通气综合征的临床救治提供参考。方法选取2016年1月-2016年12月某院收治的82例阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者为研究对象,采用MDT模式进行治疗。检测并比较诊疗前后空腹血糖、收缩压、舒张压、总胆固醇、甘油三酯、低密度脂蛋白胆固醇和高密度脂蛋白胆固醇水平,评价治疗效果。结果与诊疗前比较,多学科诊疗后,患者SBP、DBP、GLU、TC、TG水平明显下降,HDL-C水平升高,差异均有统计学意义(P<0.001);82例OSAHS治疗患者的随访结果为:显效42例,有效31例,无效9例,有效率为89.02%。结论 MDT模式在OSAHS的临床应用中具有较为理想的诊疗效果,有着良好发展前景。

Objectives To explore the application of Multi-Disciplinary Team （MDT） in obstructive sleep apnea hypopnea syndrome, explore its clinical effect and provide reference for clinical treatment of obstructive sleep apneahypopnea syndrome. Methods 82 cases of OSAHS patients from January 2016 to December 2016 in our hospital were selected as the research object, and using MDT model for treatment. The fasting blood glucose, systolic pressure, diastolic blood pressure, total cholesterol, triglyceride, low density lipoprotein cholesterol and high density lipoprotein cholesterol levels before and after treatment were tested and compared, therapeutic effect was evaluated. Results After treatment, SBP, DBP, GLU, TC, TG levels were significantly decreased, HDL-C levels were increased, the difference was statistically significant （P 〈0. 05）. the results of the follow-up of 82 patients with OSAHS were ： 42 cases were developed, 31 were effective, 9 were ineffective, and the effective rate was 89.02%. Conclusion The clinical application of MDT model in OSAHS had ideal curative effect and good development prospect.