Effects of different intervention measures on quality of life of patients with obstructive sleep apnea hypopnea syndrome
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摘要: 目的 分析经鼻持续气道正压通气(nCPAP)和悬雍垂腭咽成形术(UPPP)对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者睡眠疗效、生活质量的影响。 方法 选择2012年8月—2014年8月浙江大学湖州医院收治的120例中、重度OSAHS患者作为研究对象,根据治疗情况分为nCPAP组(行nCPAP治疗,n=60)、UPPP组(行UPPP治疗,n=30)和未治疗组(n=30),选择同时期本院门诊健康体检者30例作为对照组,比较各组多导睡眠图(PSG)检测结果、魁北克睡眠问卷(QSQ)评分。 结果 治疗后,nCPAP组、UPPP组呼吸暂停通气指数(AHI)、最低血氧饱和度(SaO2)、3+4期睡眠比例、快速动眼睡眠比例、QSQ各维度评分及总分均优于治疗前及未治疗组(P<0.05),第18周时,nCPAP组AHI、SaO2、3+4期睡眠比例、快速动眼睡眠比例、QSQ各维度评分及总分均优于UPPP组(P<0.05)。 结论 中、重度OSAHS对患者生活质量有明显影响,nCPAP、UPPP均可以改善患者的睡眠质量和生活质量,但在改善患者近期睡眠质量和生活质量上nCPAP要优于UPPP,值得临床重视。
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关键词:
- 阻塞性睡眠呼吸暂停低通气综合征 /
- 经鼻持续气道正压通气 /
- 悬雍垂腭咽成形术 /
- 睡眠疗效 /
- 生活质量
Abstract: Objective To investigate the curative effect of nasal continuous positive airway pressure(NCPAP) and uvulopalatopharyngoplasty(UPPP) on the quality of life of patients with obstructive sleep apnea hypopnea syndrome(OSAHS). Methods A total of 120 patients with moderate and severe OSAHS patients in our hospital from August 2012 to August 2014 were selected as the research object,according to the treatment measures,they were divided into nCPAP group(treated with nCPAP,n=60),UPPP group(treated with UPPP,n=30) and untreated group(n=30);at the same time,the 30 cases of healthy people were recruited as the control group.The results of polysomnography(PSG) test and Quebec sleep questionnaire(QSQ) were compared among the groups. Results After the treatment,the apnea hypopnea index(AHI),lowest oxygen saturation(SaO2),REM sleep,proportion of 3+4 phase and the total score of QSQ in the nCPAP group and UPPP group were better than those before the treatment and those in the control group(P<0.05);On 18th week,the above indexes of nCPAP group were better than those in UPPP group(P<0.05). Conclusion The moderate and severe OSAHS have obvious influence on the quality of life of the patients,NCPAP and UPPP can improve the quality of sleep and quality of life of patients.nCPAP shows more effective in improving the recent quality of life and sleep in patients with OSAHS,this is worthy of attention in clinic.
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