阻塞性睡眠呼吸暂停低通气综合征20例临床分析

Clinical analysis of 20 cases of obstructive sleep apnea hypopnea syndrome

目的:探讨手术治疗阻塞性睡眠呼吸暂停低通气综合征的临床效果。方法:2012年1月-2013年12月收治阻塞性睡眠呼吸暂停低通气综合征患者20例,随机分成观察组和对照组,各10例,观察组采用鼻内镜辅助下等离子刀进行手术,对照组采用腺样体刮除术+全扁桃体切除术。结果:两组在手术时间、术中出血量、术后疼痛评分、白膜脱落时间、术后出血例次等方面比较,差异有统计学意义(P<0.05)。术后6个月复查GPS,两组LSaO2和AHI指标比较差异无统计学意义(P>0.05)。结论:低温等离子刀辅助内镜治疗阻塞性睡眠呼吸暂停低通气综合征创伤小、出血少、临床疗效好,值得推广。

Objective:To explore the clinical effect of operation in the treatment of obstructive sleep apnea hypopnea syndrome.Methods:20 cases with obstructive sleep apnea hypopnea syndrome were selected from January 2012 to December 2013.They were randomly divided into the observation group and the control group with 10 cases in each.The observation group were treated with nasal endoscopy assisted plasma knife operation,and the control group were treated with curettage of adenoids plus full tonsillectomy.Results:There were significant differences in the operation time,amount of bleeding in operation,postoperative pain score,the tunica albuginea shedding time,cases of postoperative hemorrhage of the two groups(P<0.05).At the 6 months after surgery,two groups were accepted review for GPS,and there was no significant difference between the two groups of patients in LSaO2 and AHI index(P>0.05).Conclusion:we use nasal endoscopy assisted plasma knife operation in the treatment of obstructive sleep apnea hypopnea syndrome.Trauma is small,Haemorrhage is little.Curative effect is good.So it is worth popularizing.