Effect of surgical treatment on sleep quality in postmenopausal patients with severe obstructive sleep apnea hypopnea syndrome
Objective To explore the effectiveness and risk factors of surgery in improving sleep quality of postmenopausal patients with severe OSAHS. Methods A retrospective analysis was made on surgical cases of 34 postmenopausal patients with severe OSAHS. The patients were followed up for 2 years. The patients' preoperative clinical data,and pre-and postoperative Pittsburgh Sleep Quality Index(PSQI) and Epworth Sleepiness Scale (ESS) scores were collected and statistically analyzed. Results PSQI and ESS scores were significantly lower than those before operation (P<0.01). The improvement of PSQI score was negatively correlated with tonsil size and t90％(P<0.01). The change of ESS score was negatively correlated with Friedmen grade (P<0.01) and t90％(P<0.05),and positively correlated with tonsil size(P<0.01) and MRS score(P<0.05). Conclusions Postmenopausal patients with OSAHS have poor sleep quality,surgical treatment can be a viable option to improve sleep quality and daytime sleepiness symptoms. Tonsil size,MRS score,Friedmen score and t90％ were significant risk factors of postoperative sleep quality improvement.
万方数据
维普
