两种不同术式治疗轻中度OSAHS的疗效及对患者生活质量的影响比较

doi:10.3969/j.issn.1671-7171.2018.02.008

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Abstract 【Objective】To compare the effect of nasal cavity expansion and nasal cavity structural correction in the treatment of mild to moderate obstructive sleep apnea hypopnea syndrome (OSAHS) and its influence on the quality of life of patients.【Methods】From January 2013 to March 2016, 68 patients with mild to moderate OSAHS in otolaryngology department of our hospital were studied. According to the different operation methods, they were divided into two groups: the nasal cavity dilatation group (n=38) and the nasal cavity orthodontics group (n=30).The apnea Hypopnea index (AHI), the lowest oxygen saturation (LSaO₂), the mean oxygen saturation (MSaO₂), the awakening Index, the Epworth sleepiness scale (ESS), the snoring (SOS), nasal congestion visual analogue scale (VAS), quality of life (QOL), postoperative complications and satisfaction were compared between the two groups before and after operation.【Results】At 3 months after operation, the AHI and awakening index of the two groups decreased significantly. The scores of LSaO₂and MSaO₂increased significantly. The scores of ESS, SOS and VAS decreased significantly (P<0.05), and the scores of quality of life (QOL) increased significantly. In the nasal cavity enlargement group, the VAS score and the quality of life score decreased or increased 3 months after operation, and the difference was statistically significant (P<0.05). The incidence of complications in the nasal cavity orthopedic group was 10%, the satisfaction rate was 94.74%, while in the nasal cavity dilatation group it was 0% and 76.67, respectively. The difference between the two groups was statistically significant (P<0.05).【Conclusion】Both nasal cavity enlargement and nasal structure orthodontics were effective in the treatment of mild to moderate OSAHS, but nasal augmentation was more effective in improving symptoms and quality of life, with fewer complications and higher satisfaction, which was worthy of clinical recommendation.

Key words： Sleep Apnea, Obstructive/SU Syndrome Treatment Outcome Quality of Life

Received: 09 January 2017

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	Articles by authors
	LIAO Shi-chuan
	ZHU Li
	FAN Nai-cong

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LIAO Shi-chuan,ZHU Li,FAN Nai-cong. Comparison of the Effect of Two Different Surgical Procedures on the Quality of Life of Patients with Mild and Moderate OSAHS[J]. JOURNAL OF CLINICAL RESEARCH, 2018, 35(2): 232-235.

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http://www.jcr.net.cn/EN/10.3969/j.issn.1671-7171.2018.02.008 OR http://www.jcr.net.cn/EN/Y2018/V35/I2/232

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