中药联合阻鼾器治疗青年阻塞性睡眠呼吸暂停综合征患者的临床疗效分析
Evaluation of CBCT in adjuvant treatment of adolescent obstructive sleep apnea syndrome
秦化祥 1王海燕1
作者信息
- 1. 温州医科大学附属口腔医院 正畸科,浙江 温州 325027
- 折叠
摘要
目的 探讨阻鼾器加中药治疗青年阻塞性睡眠呼吸暂停综合征患者的临床疗效.方法 选取温州医科大学附属口腔医院60例青年阻塞性睡眠呼吸暂停综合征患者为研究对象,采用阻鼾器加中药治疗.采用夜间多导睡眠图(PSG)进行检查,监测最低血氧饱和度、呼吸暂停次数,计算AHI.采用CT测量患者治疗前后口咽部、鼻咽部及咽喉部横断面积;评价2组临床疗效.结果 治疗后,总有效率为91.67%(55/60);患者治疗后呼吸暂停次数、AHI分别为(25.02±3.88)次、(15.68±6.47)次/h,明显低于对照组的(32.17±5.78)次、(26.55±8.29)次/h,比较差异有统计学意义(P<0.05);治疗后最低血氧饱和度为(81.47±10.66)%,明显高于治疗前(60.22±12.52)%,比较差异有统计学意义(P<0.05).患者治疗后口咽部、鼻咽部及咽喉部横断面积分别为(3.69±0.22)cm2、(4.23±0.39)cm2、(3.82±0.68)cm2,明显高于治疗前(2.09±0.17)cm2、(3.78±0.28)cm2、(3.17±0.49)cm2,比较差异有统计学意义(P<0.05).结论 采用阻鼾器加中药治疗青年阻塞性睡眠呼吸暂停综合征效果显著.
Abstract
Objective To investigate the clinical efficacy of snoring machine plus traditional Chinese medicine in the treatment of young patients with obstructive sleep apnea syndrome. Methods 60 cases of young patients with obstructive sleep apnea syndrome were included in the study, using snoring machine plus traditional Chinese medicine treatment. The nighttime polysomnography (PSG) was used to check the minimum oxygen saturation, the number of apnea, and the AHI. CT examination of patients before and after treatment of oropharynx, nasopharynx and throat cross-sectional area; evaluation of the two groups of clinical efficacy. Results After the treatment, the total effective rate was 91.67 % (55/60). The number of apnea and AHI were (25.02±3.88) and (15.68±6.47) / h respectively, which were significantly lower than those in the control group (32.17±5.78)、(81.47±10.66)% was significantly higher than that before treatment (60.22±12.52)%,(P<0.05), and the lowest blood oxygen saturation (P<0.05) was significantly higher than that before treatment (26.55±8.29) times / h and P<0.05. (3.69±0.22) cm2, (4.23±0.39) cm2, (3.82±0.68) cm2, respectively, which was significantly higher than that before treatment (2.09±0.17) cm2, and the area of oropharynx, nasopharynx and throat were (3.69±0.22) (3.78±0.28) cm2, (3.17±0.49) cm2(P<0.05). Conclusion The use of snoring machine plus traditional Chinese medicine treatment of young obstructive sleep apnea syndrome effect is remarkable, it is worth promoting.
关键词
阻鼾器/中药/青年/阻塞性睡眠呼吸暂停综合征Key words
sniffing/traditional Chinese medicine/youth/obstructive sleep apnea syndrome引用本文复制引用
出版年
2017
NETL
NSTL
维普
万方数据