摘要
目的 探讨鼻腔扩容术对阻塞性睡眠呼吸暂停低通气综合征个性化治疗效果.方法 分析河北北方学院附属第一医院2011年1月～2013年9月收治的60例阻塞性睡眠呼吸暂停低通气综合征患者临床资料,依据患者临床特点采取改良鼻中隔黏膜下矫正术、三线减张鼻中隔矫正术,观察患者治疗前后最低血氧饱和度（LSaO2）、平均血氧饱和度（MSaO2）、睡眠呼吸暂停低通气指数（AHI）和睡眠呼吸暂停指数（AI）情况,Epworth嗜睡量表评分（ESS）、鼾声评分情况.结果 阻塞性睡眠呼吸暂停低通气综合征患者治疗后LSaO2、MSaO2明显高于治疗前,差异有统计学意义（P＜0.05）;治疗后AHI、AI、ESS和鼾声评分均明显低于治疗前,差异有统计学意义（P＜0.05）.结论 鼻腔扩容术治疗阻塞性睡眠呼吸暂停低通气综合征可以明显的改善LSaO2、MSaO2、AHI、AI,提高睡眠质量,降低鼾声评分,值得临床推广应用.
Objective To discuss the application of individualized treatment in obstructive sleep apnea hypopnea syn drome （OSAHS）. Methods 60 cases with OSAHS from January 2011 to September 2013 in the First Affiliated Hospital of Hebei North University were analyzed. According to clinical characteristic, modified septorhinoplasty, three lines ten sion relaxing correction were used for deviation of nasal septum, LSaO2, MSaO2, AHI, AI, ESS, snoring scores were de tected. Results LSaO2, MSaOz after the treatment of patients were higher than those before the treatment, the differ ences were statistically significant （P 〈 0.05）; AHI, AI, ESS, snoring scores after the treatment of patients were lower than those before the treatment, the differences were statistically significant （P 〈 0.05）. Conclusion The nasal cavity expansion technique can improve the OSAHS patients＂ LSaO2, MSaO2, AHI, AI,the sleep quality is increased, the snor- ing scores is decreased, it is worthy of generalizing.
出处
《中国医药导报》
CAS
2014年第5期53-55,59,共4页
China Medical Herald
