论文部分内容阅读
对阻塞性睡眠呼吸暂停综合征患者１２例，单纯性打鼾者９例，正常成人２１例分别行纤维内窥镜下Ｍüｌｅｒ氏动作观察，双盲法观察并记录上气道各部位在Ｍüｌｅｒ氏动作时塌陷程度，三组间比较。另对１２例阻塞性睡眠呼吸暂停综合征患者同期进行了睡眠期上气道的纤维内窥镜观察，并与Ｍüｌｅｒ氏动作观察结果比较。结果示三组间性别比、年龄、身高、体重、（身高－１００）／体重比值，下咽塌陷程度比较无明显差别，而口咽塌陷程度比较以及上气道最大塌陷程度比较差别有显著性。１２例阻塞性睡眠呼吸暂停综合征患者的睡眠期上呼吸道内窥镜检查证实，大多数病例睡眠中上气道塌陷情况与Ｍüｌｅｒ氏动作时表现一致，但２例存在多部位阻塞。结论认为纤维内窥镜下Ｍüｌｅｒ氏动作观察是一简便，准确，有效的确定上气道狭窄或阻塞部位的方法。
12 patients with obstructive sleep apnea syndrome, 9 patients with simple snore, 21 cases of normal adults were observed under Müler fiber endoscopy action, double-blind observation and recording of all parts of the upper airway in Müler’s action When the collapse of the degree of comparison between the three groups. The other 12 patients with obstructive sleep apnea syndrome during the same period of sleep on the airway endoscopy, and compared with Müler’s action observations. The results showed that there was no significant difference in sex ratio, age, height, weight, height (body height -100) / body weight ratio and extent of hypopharyngeal collapse between the three groups, while the degree of oropharyngeal collapse and the maximum collapse of the upper airway were significantly different . Upper respiratory tract endoscopy in 12 patients with obstructive sleep apnea syndrome confirmed that the upper airway collapse during sleep was consistent with Müler’s motion in most cases, but there were multiple sites of obstruction in 2 patients. Conclusions that Müler’s motion under fiber endoscopy observation is a simple, accurate and effective way to determine the upper airway stenosis or obstruction.