轻度阻塞性睡眠呼吸暂停低通气综合征的治疗方法选择及疗效分析

Treatment Options and Efficacy Analysis of Mild Obstructive Sleep Apnea Hypopnea Syndrome

目的将不同治疗方法在轻度阻塞性睡眠呼吸暂停低通气综合征患者中应用,分析和观察临床疗效。方法方便选取2015年3月—2017年7月该院分析及治疗的60例轻度阻塞性睡眠呼吸暂停低通气综合征患者用作该研究数据资料,凭借治疗方法差异性实行分组实验,每组30例,将悬雍垂腭咽成形术治疗方法予以参照组患者,将持续的上气道正压通气治疗方法予以实验组患者,统计以及比较两组患者的治疗有效总计率、并发症合计率。结果实验组患者的治疗有效总计率86.67%比较于参照组患者对应数据值90.00%,差异无统计学意义(χ2=0.538 1,P=0.463 2>0.05),实验组患者的并发症合计率6.67%比较于参照组患者对应数据值20.00%,差异有统计学意义(χ2=7.687 6,P=0.005 5<0.05)。结论在轻度阻塞性睡眠呼吸暂停低通气综合征患者中使用持续的上气道正压通气治疗方法和悬雍垂腭咽成形术治疗方法均展示良好治疗效果,但持续的上气道正压通气治疗方法的并发症更少,具有更高的安全性,体现应用价值。

Objective Different treatment methods were applied in patients with mild obstructive sleep apnea-hypopnea syndrome, and clinical efficacy was analyzed and observed. Methods From March 2015 to July 2017, 60 patients with mild obstructive sleep apnea-hypopnea syndrome were analyzed and treated in this hospital as data for this study conveniently.Grouped trials were performed based on differences in treatment methods. There were 30 patients in each group. The uvulopalatopharyngoplasty treatment method was applied to the reference group of patients, and the continuous upper airway positive pressure ventilation method was applied to the experimental group of patients. The total effective rate of treatment and the total complication rate of the two groups of patients were counted and compared. Results The effective total rate of treatment in the experimental group was 86.67% compared with the corresponding value of the reference group 90.00%（χ^2=0.538 1,P=0.463 2〉0.05）, and the statistical analysis and comparison significance were not presented. The complication rate of the experimental group was 6.67% compared to the reference group of patients corresponding to the data value of 20.00%（χ^2=7.687 6, P=0.005 5 0.05）, showing statistical data values and comparative significance. Conclusion In patients with mild obstructive sleep apnea-hypopnea syndrome, continuous positive airway pressure ventilation and uvulopalatopharyngoplasty have shown good therapeutic results, but continuous positive airway pressure treatment method has fewer complications, higher safety, and application value.