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目的观察低温等离子射频治疗阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea-hypopneasyndrome,OSAHS)合并变应性鼻炎的疗效。方法对2010年1-5月收治的42例OSAHS合并变应性鼻炎患者,采用低温等离子射频双下鼻甲减容、鼻腔内蝶腭神经及筛前神经末梢阻滞,并配合鼻中隔成形等手术。使用Epworth嗜睡评分量表(epworth sleepiness scale,ESS)和视觉模拟评分法(visual analogue scale,VAS)对治疗前及治疗3个月后的总体感受评分。结果 ESS评分与VAS评分均符合正态分布,手术前、后ESS评分[(14.22±4.21)分,(6.78±4.12)分]与VAS评分[(8.34±2.72)分,(3.96±1.02)分]差异有统计学意义(P<0.05)。结论低温等离子射频治疗OSAHS合并变应性鼻炎疗效较好。
Objective To observe the therapeutic effect of low-temperature plasma radio frequency therapy on patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) complicated with allergic rhinitis. Methods Forty-two OSAHS patients with allergic rhinitis admitted from January 2010 to May 2010 were treated with low-temperature plasma radio frequency double inferior turbinate volume reduction, nasal septal and paired nerve root block, and nasal septum formation. Epworth sleepiness scale (ESS) and visual analogue scale (VAS) were used to assess the overall sensory scores before and 3 months after treatment. Results ESS score and VAS score were in normal distribution. ESS score [(14.22 ± 4.21), (6.78 ± 4.12) points vs VAS score [(8.34 ± 2.72), (3.96 ± 1.02) points ] Difference was statistically significant (P <0.05). Conclusion Low temperature plasma radiofrequency treatment of OSAHS with allergic rhinitis has a good effect.