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《Chinese Journal of Difficult and Complicated Cases》 2017-03
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Research of urulopalatepharyhgoplasty combined nCPAP in treatment of complex sleep apnea syndrome

ZHOU Jinling;JIN Ming;ZHU Hailing;HE Hongxia;FENG Wei;Department of Respiratory Medicine;Jingmen First Peoples Hospital;Hubei province;  
Objective To explore the effect of uvulopalatopharyngoplasty combined with nasal continuous positive airway pressure(nCPAP) for the treatment of complex sleep apnea syndrome(ComSAS).Methods 60 cases of ComSAS patients in Jingmen First People's Hospital of Hubei from January 2013 to December 2015 were selected as the research object,they were divided into 2 groups according to the perioperative treatment,each group with 30 cases.The 2 groups underwent uvulopalatopharyngoplasty,combined with nasal septum and inferior turbinate low-temperature plasma ablation surgery control group,all patients were treated with conventional therapy and the traditional nursing method,the observation group on the basis of the control group in the 1 week before! operation and within 3 d after nCPAP treatment,respectively,1 years ago and postoperative polysomnography(PSG) monitoring were performed.Results Compared with the control group,the total effective rate of observation group increased significantly(x~2= 7.32,P 0.05);the 2 groups of patients after treatment of the various stages of REM,S3 + S4,LSaO_2,AHI ratio was significandy improved compared with before treatment,the difference was statistically significant(P 0.05);compared with the control group,the observation group after treatment,AHI decreased LSaO_2 was significantly increased,S3 +S4 ratio and REM ratio were significantly increased,the differences were statistically significant(P 0.05).2 groups of complications were improved,and the observation group improved better than the control group(P 0.05).Conclusion Perioperative ventilation in patients with complex sleep apnea syndrome is conducive to the smooth operation,can improve the surgical effect of patients,the operation method is simple and feasible.
【Fund】: 湖北省卫生计生委专项资金2015年度重点支持课题(WJ2015MB280)
【CateGory Index】: R766.9
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