Impact of upper airway expansion surgery on the blood pressure of hypertension patients with upper airway obstruction.
- Author:
Shunong WU
;
Jian LU
;
Jianhua ZOU
;
Jiyi HUANG
;
Xiaozheng HE
;
Bozi LI
;
Qingyun YE
;
Shumei WEI
- Publication Type:Journal Article
- MeSH:
Adult;
Aged;
Aged, 80 and over;
Blood Pressure;
physiology;
Female;
Humans;
Hypertension;
physiopathology;
Male;
Middle Aged;
Otorhinolaryngologic Surgical Procedures;
Sleep Apnea, Obstructive;
complications;
physiopathology;
surgery
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2014;28(15):1160-1162
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the impact of upper airway expansion surgery on the blood pressure of hypertension patients with upper airway obstruction.
METHOD:Clinical data of 45 cases of hypertension patients with nasal obstruction who were underwent upper airway expansion surgery. The morning sitting blood pressure of patients were recorded. All of the patients were underwent nasal expansion surgery and 11 cases with obstructive sleep apnea hypopnea syndrome were combined with H-uvulopalatopharyngoplasty.
RESULT:Blood pressure of all 45 cases were apparently reduced in 12 months after the operations [systolic blood pressure (157.38 +/- 15.15) mmHg to (132.18 +/- 8.43) mmHg, diastolic blood pressure (95.42 +/- 9.28) mmHg to (82.31 +/- 5.88)mmHg], in which 9 cases with type I hypertension were lowered to normal pressure. Results had statistical difference between pre-operation and post-operation (P < 0.01).
CONCLUSION:Upper airway expansion surgery (including nasal and pharynx cav ity) can help lower blood pressure of hypertensive patients with nasal obstruction. Post-operative results were better than H-uvulopalatopharyngoplasty only.
