论文部分内容阅读
目的分析阻鼾器对阻塞性睡眠呼吸暂停综合征(OSAS)患者气道、睡眠结构及呼吸功能的影响。方法20例轻中度OSAS患者戴用阻鼾器治疗,治疗前后分析患者主观症状的改变,并用夜间多导睡眠图(PSG)监测结合上呼吸道CT三维重建以评价疗效。结果患者睡眠憋醒和鼾声改善最为明显,日间嗜睡和晨起头晕程度明显减轻,工作和生活质量提高。患者的呼吸暂停指数、平均呼吸暂停时间、低通气指数及呼吸紊乱指数值比治疗前明显下降(P<0.01或P<0.05),最低血氧饱和度则明显升高(P<0.01);患者的下颌平面角、上后气道间隙及中气道间隙增加显著,软腭长度则明显减小(P<0.01或P<0.05),下齿槽座角和下气道间隙值,治疗前后无明显变化(P>0.05)。结论阻鼾器可明显扩张上气道,是治疗OSAS的一种有效方法。
Objective To analyze the effect of snore snorers on airway, sleep structure and respiratory function in patients with obstructive sleep apnea syndrome (OSAS). Methods Twenty patients with mild-to-moderate OSAS were treated with snore snorer. Before and after treatment, the subjective symptoms were analyzed. The nighttime polysomnography (PSG) combined with CT three-dimensional reconstruction of upper respiratory tract was used to evaluate the curative effect. Results Patients with sleep arousal and snoring the most obvious improvement during the day drowsiness and morning dizziness significantly reduced the level of work and quality of life improved. The apnea index, mean apnea time, hypoventilation index and respiratory disturbance index decreased significantly (P <0.01 or P <0.05) and the lowest oxygen saturation (P <0.01) (P <0.01 or P <0.05), lower alveolar septum and lower airway clearance, no significant difference between before and after treatment Change (P> 0.05). Conclusion Snoring device can significantly expand the upper airway, is an effective method of treatment of OSAS.