鼻腔扩容术后的osahs患者疗效的主、客观评价-耳鼻咽喉科学专业论文.docxVIP

重庆医科 重庆医科大学硕士研究生学位论文 万方数据 万方数据 英汉缩略语名词对照 英文缩写 英文全称 中文全称 OSAHS Obstructive sleep apnea-hypopnea syndrome 阻塞性睡眠呼吸暂停通气 综合征 ESS Epworth sleepiness scale Epworth 嗜睡量表 CSA Centeral sleep apnea-hypopnea 中枢型睡眠呼吸暂停 OSA Obstructive sleep apnea-hypopnea 阻塞性睡眠呼吸暂停 MSA Mixed sleep apnea-hypopnea 混合型睡眠呼吸暂停 PSG polysomnogram 多导睡眠监测 UMCA unilateral minimum cross-sectional area 单侧最小横截面积 CPAP continuous positive airway pressure 持续正压通气治疗 1 鼻腔扩容术后的 OSAHS 患者疗效的主、客观评价 摘 要 目的：探讨经鼻腔扩容术治疗的 OSAHS 患者治疗效果的主观评价。 方法：回顾 2014 年 2 月至 2014 年 7 月的明确诊断为阻塞性睡眠 呼吸暂停低通气综合征并且完成鼻腔扩容术的 48 例患者信息，均行鼻 阻力、鼻声反射及 Epworth 嗜睡量表评分，且于 6 月后随访上述检查。 结果：鼻阻力、鼻声反射及 Epworth 嗜睡量表术前及术后经 spss 22 统计学分析，并且通过与正常人群的比较，提示成人阻塞性睡眠呼吸 暂停低通气综合症的患者经鼻腔扩容术治疗后，嗜睡、鼻阻等主观感 受及客观上气道通气情况较术前明显好转。 结论：鼻腔扩容术对成人阻塞性睡眠呼吸暂停低通气综合征具有 显著疗效。 关键词：成人阻塞性睡眠呼吸暂停低通气综合征；鼻腔扩容术； 鼻阻力；鼻声反射；Epworth 嗜睡量表 2 THE MAIN, OBJECTIVE EVALUATION OF CURATIVE EFFECT OF OSAHS PATIENTS AFTER THE OPERATION OF NASAL CAVITY EXPANSION ABSTRACT Objective: To investigate the effect of OSAHS treatment in patients with subjective evaluation of expansion nasal surgerytreatment. Methods: Retrospective in February 2014 to July 2014, a clear diagnosis of obstructive sleep apnea hypopnea syndrom and expansion nasal surgerytreatment of forty-eight patients, improve the nasal resistance ,acoustic rhinometry and Epworth sleepiness scale score, and the monitoring in six months follow-up. Results: Nasal resistance, acoustic rhinometry and Epworth sleepiness scale by the SPSS statistical analysis, and compared with the normal group, the hint of adult patients with obstructive sleep apnea hypoventilation syndrome, after treatment with surgery, Sleepiness, nasal obstruction and other subjective and objective airway ventilation significantly improved compared with preoperative Conclusion: expansion nas