阻塞性睡眠呼吸暂停低通气综合征患者治疗状况调查

来源 :中华医学会2014全国耳鼻咽喉头颈外科中青年学术会议 | 被引量 : 0次 | 上传用户:xiaziaipao
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阻塞性睡眠呼吸暂停低通气综合征是一个常见的睡眠疾病,近几年受到广泛重视,但是仍然有许多患者甚至医务工作者也认识不足.为此我们对通过多导睡眠呼吸监测确诊的阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的治疗现状和患者不选择治疗的原因进行回顾性分析.
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目的 探讨同期多平面手术治疗中重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的术后疗效.方法 对137例经多道睡眠仪监测(PSG)诊断为中重度OSAHS并接受手术干预的病例资料进行回顾性分析.其中,多平面组95例行以改良UPPP为基础的多平面手术,UPPP组42例仅行改良UPPP.比较其术后并发症的发生情况,并对术前和术后六个月PSG检查、Calgary睡眠呼吸暂停生活质量指数问卷(SAQLI)
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目的 对于阻塞平面在口咽部的轻,中度OSAHS患者H-UPPP效果较好,对同时伴有舌根后区阻塞的中,重度OSAHS效果不佳.由于舌根后区手术止血困难,术后水肿易造成患者窒息死亡,所以,一直以来对于OSAHS的治疗舌根部阻塞的处理非常谨慎,多数是仅解决口咽部的阻塞,患者术后症状可缓解一部分,但之后1-2年便会复发,这或许就是手术远期效果不佳的原因之一吧.
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