论文部分内容阅读
目的 评价老年人阻塞性睡眠呼吸暂停综合征 (OSAS)咽通道管治疗的应用价值。 方法 咽通道管治疗 30例老年OSAS患者 ,治疗前后用多导睡眠监测仪进行监测 ,其中 14例应用CT结合Muller试验检查咽腔变化。 结果 (1) 30例老年OSAS患者中治疗前后呼吸暂停低通气指数(AHI)分别为 6 9 4± 18 1、2 9 5± 10 8,最低血氧饱和度 (LSaO2 )为 (5 9 3± 12 4) %、(81 2± 11 4) % ,睡眠时血氧饱和度超过 90 %的时间百分率 (MT90 )为 (6 7 3± 16 9) %、(92 0± 7 3) % ;(2 ) 14例行Muller试验者 ,腭咽、舌咽最小截面积分别为 (10 5± 11 0 )mm2 、(97 3± 2 6 5 )mm2 ,咽腔阻塞阳性率分别为92 9%、5 7 1% ;咽通道管治疗后腭咽、舌咽最小截面积分别为 (10 5 3± 4 6 )mm2 、(139 4± 2 8 2 )mm2 ,均无咽腔阻塞。 结论 咽通道管能改善老年OSAS患者咽腔阻塞 ,是治疗老年人OSAS的一种行之有效的方法
Objective To evaluate the value of phacoemulsification in elderly obstructive sleep apnea syndrome (OSAS). Methods Thirty cases of elderly patients with OSAS were treated with pharyngeal canalization and monitored by polysomnography before and after treatment. Fourteen of them were examined by CT combined with Muller’s test. Results (1) The apnea-hypopnea index (AHI) of the 30 elderly patients with OSAS before and after treatment were respectively 694 ± 18 and 1,295 ± 10 8, and the LSaO2 was (5 9 3 ± (81 ± 11 4)%, (90 ± 16 9)% and (92 0 ± 7 3)% respectively when the blood oxygen saturation exceeded 90% during sleep. 2) In the 14 patients who underwent Muller’s test, the minimum cross-sectional areas of the pharyngeal and lingual pharyngeal tissues were (105 ± 11 0) mm2 and (97 3 ± 2 65) mm2, respectively. The positive rates of pharyngeal obstruction were 92.9% and 5 7 1%. The minimum cross-sectional area of the pharyngeal and lingual pharyngeal pharyngeal canal was (1053 ± 46) mm2 and (139 4 ± 2 8 2) mm2, respectively. No pharyngeal obstruction was found. Conclusion The pharyngeal canal can improve pharyngeal obstruction in elderly patients with OSAS and is an effective method for the treatment of OSAS in the elderly