低温射频消融术后配合持续气道正压通气治疗重度阻塞性睡眠呼吸暂（临床医学论文资料）.docVIP

低温射频消融术后配合持续气道正压通气治疗重度阻塞性睡眠呼吸暂（临床医学论文资料） 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：低温射频消融术后配合持续气道正压通气治疗重度阻塞性睡眠呼吸暂 1 文2：应用低温等离子冷消融术治疗阻塞性睡眠呼吸暂 6 1 临床资料 6 2 护理 6 3 讨论 8 参考文摘引言： 8 原创性声明（模板） 9 文章致谢（模板） 10 正文 低温射频消融术后配合持续气道正压通气治疗重度阻塞性睡眠呼吸暂（临床医学论文资料） 文1：低温射频消融术后配合持续气道正压通气治疗重度阻塞性睡眠呼吸暂 AbstractObjective:To Assess the clinical effect of continuous positive airway pressure ventilation after plasm radiofrequency at low temperature in treatment of severe obstructive sleep apnea three methods of treatments clinical cases in our hospital with severe OSAHS were randomly divided into the groups of Plasm radio frequency surgery，CPAP treament group and post-operative treatment with CPAP summarize patientss clinical symptom、polysomnography and :The clinical features such as sleep snort，apnea were not significany different among the three groups，it showed significant improvement after 6 radio frequency ablation surgery group is effective;After pure CPAP treatment and surgery，coordinates the CPAP treatment group appearance;CPAP treatment after surgery markedly with compliance， sleep structure CPAP treatment after surgery more :With CPAP treatment of plasm radiofrequency at low temperature in OSAHS is effective in decreasing AHI and improving the oxygen saturation of their nasal patency. Key wordsSevere sleep apnea hypopnea syndrome，obstructive Plasma radiofrequency ablation，Continuous positive airway pressure，ventilationpolysomnography? 阻塞性睡眠呼吸暂停低通气综合征(OSAHS)［1］是一种发病率高、危害严重的常见疾病，以睡眠打鼾、反复呼吸暂停（低通气）及随之发生觉醒（微觉醒），导致夜间睡眠不充分和不同程度白天嗜睡等为主要症状，并可引起心脑血管、肾脏、神经认知及代谢等多器官系统损害。尤其是重度患者常伴有上气道多平面、不同程度的狭窄和阻塞。患者多数采用专科治疗，内科医生一般只是给予经鼻持续气道正压通气治疗，耳鼻咽喉科医生则以外科手术治疗为主，患者治疗的依从性和疗效均达不到临床预期效果。我们通过对64例重度OSAHS患者，分别行射频消融手术、单纯CPAP和射频消融手术后配合CPAP治疗，观察不同治疗方法的临床疗效，为临床治疗提供理论依据。 资料与方法? 一般资料：2007年2月～2008年3月通过问诊、耳鼻咽喉专科检查、PSG监测，按照2002年杭州标准［2］诊断重度OSAHS患者64例，其中男60例，女4例；年龄20～72岁，平均47岁；病史2～40年。体质指数（BMI）～。睡眠呼吸暂停低通气指数（AHI）～次/小时，平均次/小时；最低血氧饱和度（LSaO?2）～，平均。随机分为三组，射频消融手术组、单纯CPAP治疗组和射频消融手术后CPAP治疗组，分别为19例、21例和24例。 治