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目的采用国产多导睡眠监测仪(PSG)对鼾症病人实施监测和手术病例筛查,并进行手术疗效评估。方法门诊和住院病例中选择打鼾患者42例在监测室内作PSG检查,对符合阻塞性睡眠呼吸暂停低通气综合征(OSAHS)病人行悬雍垂腭咽成型术。结果 42例病人中阻塞性低通气型32例(71.66%),混合型8例(22.22%),中枢型2例(6.1%)。手术采用改良悬雍垂腭咽成型术(UPPP)9例,扁桃体切除+UPPP11例,扁桃体切除+UPPP+鼻中隔矫正2例,配戴呼吸机1例,保守治疗19例。结论多导睡眠监测的开展,能让我们更进一步明确鼾症病人病情的严重程度,明确是否伴有呼吸暂停以及选择正确的治疗方法 ,并能很好的进行客观的疗效评估。
Objective To monitor snoring patients and screen surgical cases with domestic polysomnography (PSG) and assess the curative effect of surgery. Methods 42 outpatients and inpatients were selected snoring patients for PSG in the monitoring room for obstructive sleep apnea-hypopnea syndrome (OSAHS) patients undergoing uvulopalatopharyngoplasty. Results Among the 42 patients, 32 were obstructive hypopnea (71.66%), 8 were mixed (22.22%), and 2 were central (6.1%). Nine patients were treated with modified uvulopalatopharyngoplasty (UPPP), 11 with tonsillectomy + UPPP, 2 with tonsillectomy + UPPP + nasal septum, 1 with ventilator, and 19 with conservative treatment. CONCLUSIONS Polysomnography can allow us to further determine the severity of snoring patients, determine whether they have apnea, choose the correct treatment, and conduct objective evaluation.