摘要
目的探讨成人喉梗阻与阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的相关性。方法收集因喉梗阻就诊的成年患者27例,包括呼吸困难1度20例,2度7例。根据病因手术治疗,手术前后分别行多导睡眠监测,分析其影响因素和手术疗效。结果 74.1%的喉梗阻患者术前有低氧血症,呼吸困难1度者的LSpO2(85.92±6.91)%显著高于2度者(77.57±12.55)%(P<0.05)。术前符合OSAHS诊断者占44.4%,以低通气为主,只有重度OSAHS以呼吸暂停为主。术后喉梗阻症状改善,LSpO2升至(87.70±4.22)%,AHI降至(7.38±12.54)次/h,均较术前显著改善(P<0.05)。结论喉源性OSAHS以轻度和低通气为主。治疗喉梗阻可以改善喉源性OSAHS,但中重度OSAHS应考虑合并其他部位的狭窄塌陷,需综合治疗。
OBJECTIVE To investigate the correlation between laryngeal obstruction and obstructive sleep apnea hypopnea syndrome(OSAHS)in adult patients.METHODS 27 adult patients with laryngeal obstruction were collected,including 20 patients with degree I dyspnea and 7 patients with degree II dyspnea.Operations were performed according to the etiology,and polysomnography(PSG)was checked preoperatively and postoperatively.Then the factors affecting PSG indexes and surgical efficacy were analyzed.RESULTS 74.1%patients were diagnosed with the hypoxemia preoperatively.The LSpO2 of patients with degree I dyspnea(85.92±6.91)%is higher than that with degree II dyspnea(77.57±12.55)%(P<0.05).44.4%patients were diagnosed with OSAHS according to AHI.It was mainly hypopnea,and only severe OSAHS was mainly apnea.The symptoms of the patients were improved after the operation,with LSpO2 rose to(87.70±4.22)%and AHI reduced to(7.38±12.54)/h(P<0.05).CONCLUSION Laryngeal OSAHS is mainly mild and hypopnea.The treatment of laryngeal obstruction can improve laryngeal OSAHS,but in moderate to severe OSAHS the factors of stenosis and collapse in other parts should be considered,and need comprehensive treatment.
作者
肖洋
马丽晶
牛子捷
王军
XIAO Yang;MA Lijing;NIU Zijie;WANG Jun(Department of Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Key Laboratory of Otolaryngology Head and Neck Surgery(Capital Medical University),Ministry of Education,Beijing,100730,China)
出处
《中国耳鼻咽喉头颈外科》
CSCD
2020年第5期279-281,共3页
Chinese Archives of Otolaryngology-Head and Neck Surgery
基金
国家重点研发计划(2017YFC0112502)
北京市自然科学基金(7182036)。
关键词
睡眠呼吸暂停
阻塞性
声带麻痹
喉狭窄
耳鼻喉外科手术
Sleep Apnea
Obstructive
Vocal Cord Paralysis
Laryngostenosis
Otorhinolaryngologic Surgical Procedures
