阻塞性睡眠呼吸暂停低通气综合征患者腭咽成形术后并发症发生率对.docVIP

阻塞性睡眠呼吸暂停低通气综合征患者腭咽成形术后并发症发生率对 　【摘要】 评估悬雍垂腭咽成形术(UPPP)手术治疗OSAS患者术后出现咽部干燥、咽异物感等并发症发生率。方法：对经UPPP手术治疗后OSAS患者52例，进行术后随访评估。随访采用问卷方法，与正常人咽部干燥及咽异感症作对比。结果：随访5年中，OSAS组46例排除糖尿病的患者中，16例出现咽部干燥，对照组63例中12例出现，差异有统计学意义(P＜0.05)；OSAS组22例出现咽异感症，对照组12例出现，差异有统计学意义（P＜0.01）。结论：OSAS患者UPPP术后咽异感症及咽部干燥患者较多，为创伤刺激及瘢痕愈合所致，应予重视。UPPP术后出现音色改变的可能性不大。 【关键词】 睡眠呼吸暂停综合征 悬雍垂腭咽成形术 咽异感症 咽干 APharyngeal side effects following uvulopalatopharyngoplasty in To evaluate the incidence of pharyngeal xeransis and pharyngeal paraesthesia following uvulopalatopharyngoplasty(UPPP) in patients with obstructive sleep apnea syndrome (OSAS). Method： Fiftytwo patients were subjected to UPPP and followed up. Questionnaires were used to compare the incidence of pharyngeal xeransis and pharyngeal paraesthesia between them and healthy controls. Results： During a 5year followup, 16 of the 46 patients excluding diabetics had pharyngeal xeransis and 22 had pharyngeal paraesthesia. In the control group, 12 had pharyngeal xeransis and 12 had pharyngeal paraesthesia. There was a significant difference between the two groups. Conclusions： Pharyngeal xeransis and pharyngeal paraesthesia are more common in patients after UPPP than in healthy adults, which may be a result of wound excitation and cicatricle concrescence. The timbre is possibly not changed. ［KEY WORDS］ Sleep apnea syndromes; Uvulopalatopharyngoplasty; Pharyngeal paraesthesia; Pharyngeal xeransis 1995年5月至1999年4月，我们对在我院行悬雍垂腭咽成型术（uvulopalatopharyngoplasty,UPPP）的患者52例术后作了关于咽干、咽异物感及音色改变等并发症的随访调查，因为当时没有公布阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea thypopnea syndroome,OSAHS)的诊断依据和疗效评定标准［1］,本组病例均未做多导睡眠监测(polysomnography, PSG)检查,全部病例术前诊断为阻塞性睡眠呼吸暂停综合征(obstructive sleep apnea syndrome,OSAS)。 1 资料与方法 1.1 临床资料 1995年5月 1999年4月，患者52例中男47例,女5例， 年龄为24 58岁，平均为40±9.58岁，病程2 23年。全部病例睡眠时都有严重打鼾，经纤维鼻咽喉镜Muller检查、鼻咽喉CT检查,鼻咽喉CT检查为水平位，狭窄平面位于软腭和口咽平面。52例患者由其家人夜间睡眠时间每天观察7?h,共3夜,观察时要求用5?W白炽灯光,3夜中,平均每夜7?h睡眠呼吸暂停次数31 40次,每次15 28?s,发作时口鼻气流消失,腹式呼吸存在。52例患者均有白天嗜睡、记忆力下降、精力不集中等现象。对照组为某电力集团每年正常查体人员63例，男51例，女