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目的探讨呼吸睡眠监测(PSG)及代谢当量联合观察在中度睡眠呼吸暂停低通气综合症(OSAHS)疗效评估中的应用。方法对2003年1月至2006年11月间66例中度OSAHS患者按就诊时间先后顺序,单数行县雍垂腭咽成形术(UPPP+)舌根射频消融术治疗33例,双数行舌托治疗33例。两种治疗方法分别行治疗前与治疗后12月同观察参数(AHI、最低血氧饱和度、代谢当量)行配对t检验,分别对比观察两种治疗方法间同观察参数间的变化。结果33例患者经UPPP+舌根射频消融术治疗后1年总有效率达86.7%(27/33);舌托治疗后1年总有效率达84.8%(28/33)。两种治疗方法同观察参数(AHI、最低血氧饱和度、METs)治疗前后分别行配对t检验其变化有统计学意义(P<0.05);两种治疗方法治疗后行同观察参数(AHI、最低血氧饱和度、METs)配对t检验其变化无统计学意义(P>0.05)。结论呼吸睡眠监测(PSG)和代谢当量(METs)联合观察可作为中度OSAHS患者的疗效评价参数组合之一;UPPP+舌根射频消融术与舌托治疗均为治疗中度OSAHS患者的有效方法之一,且疗效相近。
Objective To investigate the application of respiration sleep monitoring (PSG) and metabolic equivalent observation in evaluating the therapeutic effect of moderate sleep apnea-hypopnea syndrome (OSAHS). Methods Sixty-three patients with moderate OSAHS from January 2003 to November 2006 were treated with radiofrequency catheter ablation (UPPP + 33 cases. The two treatments were paired t-test with observation parameters (AHI, minimum oxygen saturation and metabolic equivalent) before and after treatment, respectively, to observe the changes between the two treatment methods. Results The total effective rate of one year after operation of UPPP + radiofrequency ablation was 86.7% (27/33) in 33 patients. The total effective rate was 84.8% (28/33) after one year of lingual care. The changes of the two treatment methods were statistically significant (P <0.05) with the paired t test before and after treatment (AHI, minimum oxygen saturation, METs); the two treatment methods were the same as the observation parameters (AHI, The lowest oxygen saturation, METs paired t test showed no significant change (P> 0.05). Conclusions Combined sleep monitoring (PSG) and metabolic equivalent (METs) observation can be used as one of the efficacy evaluation parameters in patients with moderate OSAHS. UPPP + radiofrequency catheter ablation and lingual care are both effective methods for the treatment of moderate OSAHS , And similar efficacy.