摘要
目的探讨分析阻塞性睡眠呼吸暂停低通气综合征患者应用生活方式干预护理的临床疗效。方法选取本院就诊相关患者160例,按照随机数表法分为实验组和对照组各80例,2组患者均行UPPP,实验组患者在此基础上接受生活方式干预护理;对照组患者不进行生活方式干预护理,生活如常。对2组患者随访多年,干预后1年时进行症状评估,多导睡眠监测,体质量指数评估。比较干预前后2组患者的肺活量、AHI、LSAT、体质量指数和最长呼吸暂停时间。结果干预前2组患者体质量、体质量指数、肺活量、AHI、LSAT、最长呼吸暂停时间比较差异无统计学意义(P>0.05);干预后实验组患者的体质量、体质量指数下降(P<0.05),肺活量升高(P<0.05)。干预前后对照组患者的体质量、体质量指数、肺活量、AHI、LSAT、最长呼吸暂停时间差异均无统计学意义(P>0.05),干预后实验组患者的体质量、体质量指数低于同期对照组(P<0.05),肺活量高于对照组(P<0.05)。干预后实验组患者的AHI、最长呼吸暂停时间下降(P<0.05),LSAT升高(P<0.05),且均优于对照组(P<0.05)。结论生活方式干预能够有效改善患者症状,降低体质量、体质量指数,增大患者肺活量,降低AHI、提高LSAT、减少最长呼吸暂停时间水平,对术后远期疗效有重要作用。
Objective To explore the clinical effect of life style intervention on obstructive sleep apnea hypopnea syndrome （OSAHS） patients. Methods A total of 160 OSAHS patients treated in our hospital were divided into experimental group and control group according to random number table method, with 80 patients in each group. Patients of two groups were treated with UPPP, the experimental group received lifestyle intervention, the control group was not given lifestyle intervention. Patients of two groups were followed up for many years, and after one - year intervention, the symptoms, sleep monitoring, body mass index. The vital capacity, AHI, LSAT, body mass index and the longest apnea time were compared between the two groups before and after the intervention. Results Before the intervention, there was no significant difference in body weight, body mass index, lung capacity, AHI, LSAT, and the longest pause time between the two groups （P 〉 0.05 ）. After the intervention, the body weight and body mass index of the experimental group were significantly decreased （P 〈 0.01 ） , and the vital capacity of the experimental group was significantly increased （P 〈0.01 ）. Before and after intervention, there was no significant change in body weight, body mass index, vital capacity, AHI, LSAT, and the longest pause time in the control group （P 〉 0.05）. The dry weight, the prognosis of patients in experimental group was significantly lower than that of the control group （P 〈 0.01 ） ; the vital capacity of the experimental group were significantly higher than that of the control group （P 〈0.01 ）. AHI and the longest apnea time of the experimental group was decreased significantly （P 〈0.01 ）, the LSAT of the experimental group was increased significantly （P 〈0.01 ） ; the AHI , The longest apnea time of the experimental group was significantly lower than that of the control group （P 〈 0.01 ） ; Prognosis of LSAT of experimental group were higher than that in the control group （P 〈 0.01 ）. Conclusion Lifestyle intervention can effectively improve the symptoms of 0SAHS, reduce the body weight, body mass index, increase the vital capacity, reduce the AHI and the longest apnea time level, increase the LSAT. So it has an important effect on the long-term efficacy of OSAHS after operation.
出处
《实用临床医药杂志》
CAS
2017年第14期130-132,149,共4页
Journal of Clinical Medicine in Practice
