分阶段互动式干预对行悬雍垂腭咽成形术的阻塞性睡眠呼吸暂停低通气综合征患者康复效果、生活质量及并发症的影响

Impact of Staged Interactive Intervention on Rehabilitation Effect,Quality of Life and Complication in Postoperative Obstructive Sleep Apnea Hypopnea Syndrome Patients Underwent Uvulopalatopharyngoplast

目的探讨分阶段互动式干预对行悬雍垂腭咽成形术的阻塞性睡眠呼吸暂停低通气综合征(OSAHS患者康复效果、生活质量及并发症的影响。方法选取2013年6月—2017年6月在石家庄市第一医院耳鼻喉科行悬雍垂腭咽成形术的OSAHS患者200例,采用随机数字表法分为对照组和观察组,每组100例。对照组患者术后给予常规干预,观察组患者术后在常规干预基础上给予分阶段互动式干预;两组患者均连续干预6个月。比较两组患者康复效果、干预前后中文版Calgary睡眠呼吸暂停生活质量指数(SAQLI)评分、术后并发症发生情况。结果观察组患者康复效果优于对照组(P<0.05)。干预前两组患者情绪、日常生活、症状、社交活动评分及中文版Calgary SAQLI总分比较,差异无统计学意义(P>0.05);干预后观察组患者情绪、日常生活、症状、社交活动评分及中文版Calgary SAQLI总分高于对照组(P<0.05)。观察组患者术后并发症发生率低于对照组(P<0.05)。结论分阶段互动式干预可有效提高行悬雍垂腭咽成形术的OSAHS患者康复效果、生活质量,降低术后并发症发生率。

Objective To investigate the impact of staged interactive intervention on rehabilitation effect,quality of life and complication in postoperative obstructive sleep apnea hypopnea syndrome(OSAHS)patients undergoing uvulopalatopharyngoplasty.Methods From June 2013 to June 2017,a total of 200 OSAHS patients underwent uvulopalatopharyngoplasty were selected in the Department of Otolaryngology,the First Hospital of Shijiazhuang,and they were divided into control group and observation group according to random number table,with 100 cases in each group.Patients in control group received routine intervention after surgery,while patients in observation group received staged interactive intervention based on routine intervention;both groups continuously intervened for 6 months.Rehabilitation effect,Chinese version of Calgary Sleep Apnea Quality of Life Index(SAQLI)score before and after intervention,and incidence of postoperative complications were compared between the two groups.Results Rehabilitation effect in observation group was statistically significantly better than that in control group(P<0.05).No statistically significant difference of emotion score,daily life score,symptom score,social activities score or total score of Chinese version of Calgary SAQLI was found between the two groups before intervention(P>0.05),while emotion score,daily life score,symptom score,social activities score and total score of Chinese version of Calgary SAQLI in observation group were statistically significantly higher than those in control group after intervention(P<0.05).Incidence of postoperative complications in observation group was statistically significantly lower than that in control group(P<0.05).Conclusion Staged interactive intervention can effectively improve the rehabilitation effect and quality of life in postoperative OSAHS patients underwent uvulopalatopharyngoplasty,is helpful to reduce the risk of postoperative complications.