Survey on the effects of life-style intervention on obstructive sleep apnea-hypopnea syndrome
10.3760/cma.j.issn.1674-2907.2012.17.005
- VernacularTitle:生活方式干预对阻塞性睡眠呼吸暂停低通气综合征患者的影响
- Author:
Liu-Ping GAN
1
;
Ling-Bo LI
;
Ni ZHOU
;
Gui-Jiao QIN
;
Li-Na XU
Author Information
1. 广西壮族自治区柳州市工人医院
- Keywords:
Obstructive sleep apnea-hypopnea syndrome;
Uvulopalatopharyngoplasty;
Lifestyle intervention
- From:
Chinese Journal of Modern Nursing
2012;18(17):2002-2006
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of life-style intervention on obstructive sleep apnea-hypopnea syndrome (OSAHS).Methods A number of 168 cases with OSAHS were randomized into intervention group ( n =81 ) and control group ( n =87 ).In the interventional group,the patients received uvulopalatopharyngoplasty and life-style intervention,including cognition guide,proper diet,weight control,stopping smoking or drinking,and exercise.The control group received uvulopalatopharyngoplasty only and their living was just as usual.polysomography,body mass index ( BMI ),and symptom assessment were monitored Imonth,6months,12months and 24months after operation.The patients were followed up for more than 2 years.Results There was no statistical differences in life style between the two groups prior to intervention(P ＞0.05).The proportion of a healthy diet manner,cessation in alcohol and smoking,weight loss or good control in weight,moderate exercise between the two groups (93.8％,86.4％,69.1％,81.5％,87.7％ in intervention group,and 11.5％,36.8％,21.8％,17.2％,9.2％ in control group) showed statistical differences after intervention(x2=113.80,43.33,37.97,69.33,103.70,respectively;P ＜0.01 ).Compared to the control group,patients in intervention group had a significant improved in lowest oxygen saturation( LSa02 ),apnea hypopnea index(AHI),snoring index and BMI at 6,12,24 months after intervention(t =2.51,4.13,7.88;2.10,2.66,3.68;3.42,4.17,9.34 ;5.92,12.78,9.37 ; respectively; P ＜ 0.01 ).The observational index in intervention group before and after intervention showed statistical differences (P ＜ 0.01 ) while no difference in control group(P ＞ 0.05).Conclusions It can improve the clinical symptoms and improve the long-term efficacy of surgical treatment to reduce cardiovascular and cerebrovascular complications for uvulopalatopharyngoplasty and life-style intervention on the patients with obstructive sleep apnea-hypopnea syndrome,which not only improves the life quality of the patients,but also reduce their economic burden.It is worthy of clinical application.
