舌骨悬吊术联合腭垂腭咽成形术治疗阻塞性睡眠呼吸暂停综合征患者的疗效观察

doi:10.3969/j.issn.1671-7171.2020.08.032

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Abstract 【Objective】 To investigate the effect of uvulopalatopharyngoplasty (UPPP) in patients with obstructive sleep apnea syndrome (OSAHS). 【Methods】 Eighty patients with OSAHS in our hospital from January 2016 to may 2017 were randomly divided into observation group and control group, 40 cases in each group. The control group was treated with UPPP, and the observation group was treated with hyoid suspension on the basis of the control group. The apnea hypopnea index (AHI), minimum arterial oxygen saturation (LSaO₂), Epworth Sleepiness Scale (ESS) score and sleep apnea quality of life index (SAQLI)were compared between the two groups before and after treatment.【Results】 Before treatment, there was no significant difference in AHI, LSaO₂ and ESS scores between the two groups (P>0.05); after 6 months of treatment, the LSaO₂ value of the observation group was significantly higher than that of the control group (P<0.05), AHI value and ESS score were significantly lower than those of the control group (P<0.05); before treatment, there was no significant difference in emotion, social life, daily interaction and symptom scores in SAQLI score between the two groups . After 6 months of treatment, the social life, daily interaction and symptom scores of the observation group were significantly higher than those of the control group (P<0.05). 【Conclusion】 Hyoid suspension combined with UPPP in the treatment of OSAHS patients has a significant effect, can improve the sleep and quality of life of OSAHS patients, worthy of clinical application.

Key words： Sleep Apnea, Obstructive/SU Syndrome Pharynx/SU Palate/SU

Received: 28 August 2018

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	Articles by authors
	ZHAO Hai-jun
	TIAN Hong
	SONG Jian-tao

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ZHAO Hai-jun,TIAN Hong,SONG Jian-tao. Hyoid Suspension Combined with Uvulopalatopharyngoplasty in the Treatment of Obstructive Sleep Apnea Syndrome[J]. JOURNAL OF CLINICAL RESEARCH, 2020, 37(8): 1223-1225.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2020.08.032 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2020/V37/I8/1223

[1] 尹鲁平, 刘晓燕. nCPAP改善老年阻塞性睡眠呼吸暂停综合征患者心血管症状应用研究[J].现代仪器与医疗, 2015,21(5):55-57.
[2] 姚侃, 王猛, 于雯雯,等. UPPP术后短期上气道重塑现象的初步探讨[J].中国口腔颌面外科杂志, 2017, 15(1):63-68.
[3] 王佳, 尹金淑, 彭洪,等. 单纯鼻腔扩容术及联合改良悬雍垂腭咽成形术治疗OSAHS的疗效[J].实用医学杂志, 2016, 32(10):1675-1678.
[4] 陈自洋, 孙杰. 右美托咪定对腭咽成形术患者围术期应激反应的影响[J].临床麻醉学杂志, 2017, 33(8):738-741.
[5] 修世国, 于丹丹, 王伊梦,等. 同期行改良悬雍垂腭咽成形术和鼻中隔成形术治疗阻塞性睡眠呼吸暂停低通气综合征的可行性[J].中华耳鼻咽喉头颈外科杂志, 2017, 52(8):592-596.
[6] 胡振华, 张俊莉, 童明军,等. 注药型气管导管对腭咽成形术后留置导管期应激反应的影响[J].临床麻醉学杂志, 2016, 32(10):980-983.
[7] 赵蕊, 李海春, 刘亚辉,等. 悬雍垂腭咽成形术后羟考酮镇痛对糖尿病患者应激反应的影响[J].临床麻醉学杂志, 2016, 32(9):845-847.
[8] Barrera JE. Skeletal surgery for obstructive sleep apnea[J].Otolaryngol Clin North Am,2016, 49(6):1433-1447.
[9] 刘艾竹, 关雷, 盛崴宣. 阻塞性睡眠呼吸暂停低通气综合征患者手术麻醉困难气道的预测[J].中国微创外科杂志, 2016, 16(6):502-505.
[10] Sakat M S, Sütbeyaz Y, Yüceler Z, et al. Cephalometric measurements with multislice computed tomography in patients with obstructive sleep apnea syndrome [J].J Craniofac Surg,2016, 27(1):82.
[11] 龚哲, 魏廷文, 高吉. OSAHS伴胰岛素抵抗患者术后脂肪因子水平改变的研究[J].临床耳鼻咽喉头颈外科杂志, 2017,23(9):674-677.
[12] Askar SM, El-Anwar MW, Amer HS, et al. Single triangular suture: A modified technique for hyoid suspension as a treatment for obstructive sleep apnea: our experience with 24 patients[J].Clin Otolaryngol,2017, 42(6):1418-1421.
[13] 周钦, 凌月福. IL-23和IL-17在OSAHS患者外周血中的水平变化及意义[J].安徽医科大学学报, 2017, 52(4):601-604.
[14] 邝爱玲, 吴康, 苏小芬,等. 体位性与非体位性OSAHS患者接受低温等离子辅助UPPP疗效观察[J].重庆医学, 2017, 46(7):916-918.