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低温等离子射频消融联合下鼻甲骨折外移术治疗阻塞性睡眠呼吸暂停低通气综合征的疗效观察
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作者 欧阳杰 王小琴 《中国耳鼻咽喉头颈外科》 CSCD 2024年第2期127-128,共2页
目的探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者接受低温等离子射频消融联合下鼻甲骨折外移术后睡眠及经鼻持续气道正压通气(nasal continuous positive airway pressure,nCPAP)治疗耐受性的改善情况。方法选择40例OSAHS合并双侧... 目的探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者接受低温等离子射频消融联合下鼻甲骨折外移术后睡眠及经鼻持续气道正压通气(nasal continuous positive airway pressure,nCPAP)治疗耐受性的改善情况。方法选择40例OSAHS合并双侧下鼻甲肥大的患者作为研究对象,均在局麻下接受下鼻甲低温等离子射频消融联合骨折外移术。术前及术后2周分别采用多导睡眠监测(PSG)、鼻阻力仪、autoCPAP呼吸机及视觉模拟量表(VAS)测定睡眠呼吸暂停低通气指数(AHI)、最低血氧饱和度(lowest oxygen saturation,LSaO_(2))、鼻气道阻力及nCPAP治疗耐受性。结果与术前比较,术后2周时患者AHI降低至(35.17±9.72)次/h,LSaO_(2)提高至(83.21±6.58)%,鼻气道阻力降低至(0.55±0.09)kPa·s/cm^(3),VAS评分升高至8.32±1.17,差异比较均有统计学意义(P均<0.05)。结论低温等离子射频消融联合下鼻甲骨折外移术能有效降低OSAHS患者的鼻阻力,提高nCPAP治疗的耐受性,改善OSAHS患者的睡眠情况。 展开更多
关键词 睡眠呼吸暂停 阻塞性(Sleep Apnea Obstructive) 外科手术(Surgical Procedures Operative) 对比研究(Comparative Study) 治疗结果(Treatment Outcome) 下鼻甲射频消融术(radiofrequency ablation of inferior turbinate)
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Electroacupuncture compound anesthesia in radiofrequency ablation for hypertrophic inferior turbinate:a randomized controlled trial
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作者 时金华 贾擎 +3 位作者 刘志顺 高寅秋 谢珅 孙书臣 《World Journal of Acupuncture-Moxibustion》 2012年第3期31-36,共6页
Objective To explore the feasibility of electroacupuncture compound anesthesia in radiofrequency ablation for hypertrophic inferior turbinate.Methods The patients confirmed to the enrolled criteria were randomly divid... Objective To explore the feasibility of electroacupuncture compound anesthesia in radiofrequency ablation for hypertrophic inferior turbinate.Methods The patients confirmed to the enrolled criteria were randomly divided into an observation group(n=31) and a control group(n=30).In the observation group,electroacupuncture was applied to Sìbái(四白 ST 2),Xiàguān(下关 ST 7),Hégǔ(合谷 LI 4) and Zhīgōu(支沟 TE 6) on the left side for the anesthesia and the routine local anesthesia was done on the right side.In the control group,the routine local anesthesia was adopted on both sides.The feelings of pain,circulatory index and operation effect were observed and compared between the two groups.Results During radiofrequency ablation,the pain grades of two measurements on the left side and the 2nd measurement on the right in the observation group were all lower than those in the control group(all P〈0.05).In the observation group,the pain grade on the left side was lower than that on the right side(P〈0.05),and the systolic blood pressure and the heart rate were lower than those in the control group when undergoing the 2nd radiofrequency ablation on the right side and on the left side,respectively(all P〈0.05).There was no significant difference in operation effect between the two groups.Conclusion Electroacupuncture compound anesthesia can meet the analgesia requirement of radiofrequency ablation for hypertrophic inferior turbinate,and would be helpful to prevent cyclic fluctuation during the operation at the same time. 展开更多
关键词 acupuncture compound anesthesia inferior turbinate hypertrophy radiofrequency ablation randomized controlled trial(RCT)
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