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作者1997年6月至1998年2月对21例OSAS患者进行了半导体激光悬雍垂腭咽成形术,手术半年以后对所有患者做了睡眠监测随访,以呼吸紊乱指数(AHI)下降50%为有效计算,手术有效率为57.14%;另外,对手术后Epworth嗜睡评分(ESS)、呼吸暂停指数(AI)、AHI和最低血氧饱和度(LowestSaO2)的改善情况做了对照分析,发现ESS的下降与AI和AHI的下降程度有显著差异,P值分别为0.0019和0.0015,说明患者术后嗜睡程度的改善不能代表客观指标的改善情况。
From June 1997 to February 1998, 21 OSAS patients underwent semiconductor laser uvulopalatopharyngoplasty. After six months of operation, all patients were followed up for sleep monitoring. The respiratory disturbance index (AHI) decreased by 50% In addition, the effective rate of operation was 57.14%. In addition, we compared the improvement of Epworth Sleepiness Score (ESS), apnea index (AI), AHI and LowestSaO2 after operation and found that There was a significant difference between the decline of ESS and the decline of AI and AHI, with P values of 0.0019 and 0.0015, respectively. This indicates that the improvement of postoperative somnolence can not represent the improvement of objective indexes.