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阻塞性睡眠呼吸暂停综合征的半导体激光悬雍垂腭咽成形术

Diode laserassisted uvulopalatopharyngoplasty for the \=treatment of obstructive sleep spnea syndrome

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【作者】 林忠辉王廷础范献良蔡晓岚

【Author】 Lin Zhonghui,Wang Tingchu,Fan Xianliang,Cai Xiaolan Department of Otolaryngology,Otolaryngology Institute of Health Ministry,Shandong Medical University,Jinan 250012

【机构】 山东医科大学附属医院耳鼻咽喉科

【摘要】 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。

【Abstract】 Abstract Diode laserassisted uvulopalatopharyngoplasty (LAUP) was applied to 21 patients of obstructive sleep apnea syndrome (OSAS) from June 1997 to February 1998.All patients were males,ranging in age from 31 to 62,and the body mass index (BMI) was 285262,apnea hypopnea index (AHI) 6836850,lowest SaO2 (LSaO2) 58126%The followup PSG was performed more than 6 months after surgery.The rate of effectiveness of the 21 cases was 5714% with AHI reduction more than 50%.The reduction of Epworth sleepiness scale (ESS) after LAUP was irrelevant to AHI and apnea index (AI) (P=00015 and 00019 respectively).

  • 【分类号】R766.4
  • 【被引频次】1
  • 【下载频次】24
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