改良保留悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停低通气综合征疗效分析

Analysis of the Efficacy of Modified Uvulopalatopharyngoplasty in Obstructive Sleep Apnea Hypopnea Syndrome(OSAHS)

目的:研究分析阻塞性睡眠呼吸暂停低通气综合征患者采用改良保留悬雍垂腭咽成形术治疗的临床效果.方法:将2014年1月至2018年1月期间于广东省中山市黄圃人民医院行改良保留悬雍垂腭咽成形术治疗的30例阻塞性睡眠呼吸暂停低通气综合征患者作为研究对象.对患者进行为期半年的随访,观察其治疗总有效率以及治疗前后的呼吸紊乱指数(Apnea Hypopnea Index,AHI)、呼吸暂停低通气时间指数(Apnea Hypopnea Time Index,AHTI)以及最低血氧饱和度(Lowest Oxygen Saturation,LSaO2)改善情况.结果:30例研究对象经手术治疗后治疗的总有效率为93.99%.对研究对象进行为期半年的随访,患者术后半年呼吸紊乱指数、呼吸暂停低通气时间指数以及最低血氧饱和度均有明显改善,治疗前后比较差异均具有统计学意义(P<0.05).结论:阻塞性睡眠呼吸暂停低通气综合征患者采用改良保留悬雍垂腭咽成形术治疗可显著改善患者的睡眠状态,临床应用价值显著,值得进一步推广使用.

Objective:To investigate the clinical efficacy of modified uvulopalatopharyngoplasty in OSAHS patients.Methods:From January 2014 to January 2018,30 OSAHS cases treated with modified uvulopalatopharyngoplasty in Huangpu People′s Hospital were observed.Patients were followed up for half a year to observe the total efficiency,Apnea Hypopnea Index(AHI),Apnea Hypopnea Time Index(AHTI)and Lowest Oxygen Saturation(LSaO 2).Results:The total effective rate after surgical treatment was 93.99%.The AHI,AHTI and LSaO 2 of patients were significantly improved half a year after the operation,with statistically significant differences in those before the treatment(P<0.05).Conclusion:Modified uvulopalatopharyngoplasty which can significantly improve the sleep quality of OSAHS patients,is worthy of further promotion.