悬雍垂腭咽成形术患者应用ApneaGraph的临床分析.docVIP

精品论文 参考文献 悬雍垂腭咽成形术患者应用ApneaGraph的临床分析 1 天津市医科大学 300070；2 天津市人民医院耳鼻咽喉头颈外科 300121 【摘 要】目的 对阻塞平面为腭咽部的OSAHS患者UPPP手术前后ApneaGraph的结果进行分析，评估手术疗效，为上气道测压技术的应用提供客观依据。方法 选择准备进行悬雍垂腭咽成形术的患者，术前先进行腭咽平面压力的测定并与睡眠呼吸监测结合开展同步整夜监测，术后6个月、1年再次进行相同的监测，对两组数据进行比较和统计学分析，对比分析观察患者的食道压力的变化及各项相关指标，并同步比较患者的主、客观疗效。结果 患者术后6个月及1年复查AG及PSG，与术前各项指标对比分析发现，发生呼吸暂停时最大平均食道压力、低通气最大平均食道压力、呼吸事件时最大呼吸努力、呼吸努力次数、AHI及最低血氧均得到明显改善。术前、术后差异均有统计学意义（plt;0.01)。结论 ApneaGraph适用于临床，具备了便携PSG的功能，能够协助定位诊断OSAHS患者的阻塞部位，对手术适应症的选择具有重要的指导意义。 【关键词】悬雍垂腭咽成形术；睡眠呼吸暂停；阻塞性；压力测定 【Abstract】Objective In view of the blocking plane for palatopharyngeal ministry of OSAHS patients before and after UPPP surgery ApneaGraph comparing with the results of esophageal pressure analysis，evaluation of surgical curative effect，provide objective basis of the application of the AG technology.Methods Choose patients that ready to UPPP surgery，on preoperative ApneaGraph and Polysomnography over the corresponding period，，and the AG and PSG were applied to compare two groups of data and statistical analusis 6 month and 1 year later to contrast analysis of the observation in patients with esophageal pressure change and the related indicators，and synchronization of the patients subjective and objective curative effect.Results 6 months and 1 year postoperatively in patients with review respective of AG and PSG，compared with the preoperative data，the maximum average esophageal apnea occurs low pressure，the maximum average esophageal pressure ventilation，respiratory events best breathing，breathing haxd times，AHI and LSa02% were obviously improved.Preoperative and postoperative differences were statistically significant（p lt; 0.01).Conclusion ApneaGraph is applicable to clinical，and have the function of the portable PSG.It can help blocking parts of the localization diagnosis of OSAHS，and has mportant guiding significance to the selection of surgical candidates. 【Key words】 Uvulapalatepharyngoplasty；Sleep apnea；Obstructive；Pressure measurement