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《Anhui Medical Journal》 2014-09
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Application of upper airway pressure measurements in management of obstructive sleep apnea-hypopnea syndrome

Ji Dong;Gui Xiaozhong;Wang Qin;Department of Otorhinolaryngology,the Second People's Hospital of Wuhu;  
Objective To evaluate the surgical operation effectiveness under the guidance of upper airway pressure measurements of patients with obstructive sleep apnea-hypopnea syndrome,understand the clinical significance of upper airway pressure measurements before OSAHS operation. Methods Forty-one OSAHS patients were divided into the retropalatal area and the retroglossal area blocking group according to the sites of upper airway pressure monitoring,and operated with corresponding therapy. The PSG was reviewed 6 months to 1 year postoperatively,and evaluate the operation curative effect. Results Of the 41 cases,there were 6 cured cases,25 markedly effective cases,9improved cases and 1 ineffective ease,and the total effective rate reached 75. 61%. The operation success rate of 27 cases of retropalatal area obstruction was 77. 78%,and the 14 cases of retroglossal area obstruction 71. 43%. Conclusion The upper airway pressure measurement can accurately indicate the airway obstruction plane of OSAHS patients,referring to electron nasopharyngolaryngoscopy,provide guidance for operation scheme of OSAHS patients and improve the efficacy of operation.
【CateGory Index】: R766
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