论文部分内容阅读
目的:探讨PSG及代谢当量(METs)联合观察在中度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)疗效评估中的应用。方法:66例中度OSAHS患者按就诊时间先后顺序,单数行UPPP加舌根射频消融术治疗33例,双数行舌托治疗33例。2种治疗方法分别行治疗前与治疗后1年同观察参数(AHI、最低血氧饱和度、代谢当量)配对t检验,分别对比观察2种治疗方法间同观察参数间的变化。结果:33例患者经UPPP加舌根射频消融术治疗后1年总有效率达86.7%(27/33);舌托治疗后1年总有效率达84.8%(28/33)。2种治疗方法同观察参数治疗前后分别行配对t检验,其变化均差异有统计学意义(均P<0.05);2种治疗方法治疗后行同观察参数配对t检验,其变化均差异无统计学意义(均P>0.05)。结论:PSG和METs联合观察可作为中度OSAHS患者的疗效评价参数组合之一;UPPP加舌根射频消融术与舌托治疗均为治疗中度OSAHS患者的有效方法,且疗效相近。
Objective: To investigate the application of combined PSG and METs in evaluating the efficacy of moderate obstructive sleep apnea-hypopnea syndrome (OSAHS). Methods: Sixty-six patients with moderate OSAHS were treated by radiofrequency ablation of UPPP plus radiofrequency catheter ablation in accordance with the order of visiting time, 33 cases were treated by radiofrequency ablation with double braces. The two treatments were paired t-test with observation parameters (AHI, minimum oxygen saturation and metabolic equivalent) 1 point before treatment and 1 year after treatment, and the changes of the two treatment methods were observed and compared respectively. Results: The total effective rate of one year after operation of UPPP plus radiofrequency catheter ablation was 86.7% (27/33) in 33 patients. The total effective rate was 84.8% (28/33) after one year of lingual care. There was significant difference between the two treatment methods before and after treatment with paired t test (all P <0.05). There was no statistical difference between the two treatment methods and the observation parameters paired t test after treatment Significance (both P> 0.05). Conclusion: The combination of PSG and METs can be used as one of the efficacy evaluation parameters in patients with moderate OSAHS. UPPP plus radiofrequency catheter ablation and lingual care are effective methods for treating patients with moderate OSAHS, and the curative effect is similar.