睡眠时阻塞性呼吸暂停各种疗法的比较

• 作 者: 王仲明
• 出 处: 国外医学.耳鼻咽喉科学分册
• 发表日期: 1989年02期
• 关键词: 呼吸不足 正牙 阻塞性呼吸暂停 持续正压呼吸 CPAP 抗抑郁药 呼吸困难 气管切开 咽成形术 悬雍垂

作者对253例中度或重度睡眠呼吸暂停(OSA)患者行悬雍垂腭咽成形术(UPP)、鼻持续正压呼吸(CPAP)、气管切开、抗抑郁药、舌固定及正牙术等治疗,治疗前后用多项睡眠描记图评价,并对各种疗法的效果加以比较。UPP98例,呼吸明显改善,但患者之间改善程度有很大差异,按呼吸暂停(A)加呼吸不足(HI)(即 A+HI)指数改善50%以上、呼吸困难指数(SI)改善85%以上为良好;A+HI 和 SI 改善在50%以下为差;两者之间为中

The authors retrospectively reviewed 253 patients with moderate or severe sleep apnea (OSA) undergoing uvulopalatopharyngoplasty (UPP), continuous nasal CPAP (CPAP), tracheotomy, antidepressants, tongue fixation and orthodontics And other treatment, before and after treatment with a number of sleep tracer evaluation, and to compare the effects of various therapies. In UPP98, breathing improved significantly, but there was a significant difference in improvement among patients. According to apnea-hypopnea (A) plus hypopnea (HI) (A + HI) index was improved by more than 50%, and dyspnea index (SI) % Above is good; A + HI and SI improvements below 50% are poor;