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对接受悬雍垂腭咽成形术(UPPP)的52例阻塞性睡眠呼吸暂停综合征(OSAS)患者术后随诊3~6个月并对其行术前及术后主客观疗效评价。结果表明鼾声改善满意者34例(65.38%);白天嗜睡及晨起头痛改善者46例(88.46%)。接受术后多导睡眠监测的41例中,呼吸紊乱指数较术前降低50%或以上者19例(46.34%)。术后呼吸暂停持续时间技术前明显缩短(P<0.005)。认为UPPP术治疗OSAS有一定局限性,术后患者主客观感受有一定差异,故应强调术后客观随诊的重要性。
Fifty-two patients with obstructive sleep apnea syndrome (OSAS) receiving uvulopalatopharyngoplasty (UPPP) were followed up for 3 to 6 months and their subjective and objective evaluation was performed before and after operation. The results showed that 34 patients (65.38%) were satisfied with snoring improvement; 46 patients (88.46%) had daytime sleepiness and early morning headache improvement. Of the 41 patients who underwent polysomnography postoperatively, 19 (46.34%) had respiratory disorder index 50% or more lower than that before the operation. The duration of postoperative apnea was significantly shorter than before surgery (P <0.005). That the treatment of OSAS UPPP have some limitations, postoperative subjective and objective feelings of patients with a certain difference, it should be emphasized the importance of objective follow-up postoperatively.