Comprehensive evaluation on the effect of simultaneous multi-level surgery for moderate to severe OSAHS
10.3969/j.issn.1006-5725.2015.05.019
- VernacularTitle:同期多平面手术治疗中重度阻塞性睡眠呼吸暂停低通气综合征的疗效
- Author:
Ji DAI
;
Rui CHEN
;
Zhongsheng CAO
;
Hui YUAN
;
Zhenan ZHAO
;
Jie XIN
;
Yan LUO
;
Hongqi WEI
;
Wenquan LI
- Publication Type:Journal Article
- Keywords:
Sleep apnea,obstructive;
Otorhinolaryngologic surgical procedures;
Treatment outcome;
Quality of life
- From:
The Journal of Practical Medicine
2015;(5):753-756
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of simultaneous multi-level surgery for moderate to severe obstructive sleep apnea hypopnea syndrome (OSAHS). Methods A retrospective analysis was made on surgical cases of one hundred and thirty seven patients with moderate to severe OSAHS diagnosed by polysomnography (PSG). They were divided into multi-level group (n = 95) and UPPP group (n = 42). The two groups were compared in terms of postoperative complications as well as the related indicators of PSG , calgary sleep apnea quality of life index (SAQLI), epworth sleepiness scale (ESS), snore scales (SS) before operation and after operation. Results Just one patient in the multi-level group had difficulties in respiration and was rescued by timely tracheotomy. The AHI, LSaO2, TS90%, the total score and the scores on the four dimensions of SAQLI, ESS score, SS score in the multi-level group were significantly improved as compared both to the results after operation (P < 0.01) and to the UPPP group (P < 0.05). But only the AHI, LSaO2 and TS90% in the UPPP group were improved (P < 0.05). Conclusions The multi-level surgery is a safe and feasible therapy or moderate to severe OSAHS. The evaluation in subjective and objective ways can be more accurate in comprehensive reflecting the surgical efficacy and effects of OSAHS on patients′ of life quality.
