便携睡眠监测阻塞定位仪在悬雍垂腭咽成形术前评估中的作用

山东大学学报(医学版) ›› 2010, Vol. 48 ›› Issue (9): 127-130.

便携睡眠监测阻塞定位仪在悬雍垂腭咽成形术前评估中的作用

黄夏飞1，刘伟志2，肖宽林3

1. 广州医学院第一附属医院广州呼吸疾病研究所，广州 510120； 2. 暨南大学医学院第六附属医院江门市五邑中医院，广东江门 529000；
3. 复旦大学附属眼耳鼻喉科医院耳鼻咽喉-头颈外科，上海 200031

收稿日期:2010-05-23 出版日期:2010-09-16 发布日期:2010-09-16
作者简介:黄夏飞(1978- )，女，硕士研究生，主要从事阻塞性睡眠呼吸暂停低通气综合征和支气管哮喘的基础研究和临床诊治。 E-mail:Huangxf-nb@126.com

Preoperative assessment of UPPP with a portable apneagraph

HUANG Xia-fei1， LIU Wei-zhi2， XIAO Kuan-lin3

1．Guangzhou Institute of Respiratory Disease， First Affiliated Hospital of Guangzhou Medical College，
Guangzhou 510120， China；
2.Respiratory department， Jiangmen Wuyi Traditional Chinese Medicine Hospital， Jiangmen 529000， Guangdong, China；
3．Department of Otorhinolaryngology， Eye Ear Nose and Throat Hospital， Fudan University， Shanghai 200031， China

Received:2010-05-23 Online:2010-09-16 Published:2010-09-16

摘要/Abstract

摘要：

目的研究便携睡眠监测阻塞定位仪(AG)在悬雍垂腭咽成形术(UPPP)前评估中的临床价值。方法对经Friedman临床分期系统检查认为有UPPP适应证的21例成年阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者在术前2d内行AG检查。结果 1.AG能自动分析得出各项主要睡眠相关呼吸紊乱指标和阻塞模式;2.阻塞模式绝大多数为上部和下部联合阻塞，上部阻塞构成比大于50%的有16例(76.19%)，下部阻塞构成比大于50%的有5例(23.81%)。 3.AG判定的腭后区阻塞百分比与Friedman 临床分期之间无明确相关性。结论 AG具有分析睡眠相关呼吸紊乱事件和判定上气道阻塞水平的双重功能，对选择UPPP手术患者有重大的指导意义。

关键词: 睡眠呼吸暂停，阻塞性；测压法；悬雍垂腭咽成形术

Abstract:

Objective To evaluate the clinical value of a portable apneagragh in the preoperative assessment of uvulopalatopharyngoplasty(UPPP). Methods Twenty-one patients with obstructive sleep apnea-hypopnea syndrome(OSAHS) were subjected to UPPP by the Friedman staging system. Two days before UPPP, all underwent a portable apneagraph study in the ward. Results 1.The apneagraph provided detailed parameters about sleep-related breathing disorders and the level of upper airway obstruction. 2.Most of the patients had both upper and lower obstruction. Sixteen cases(76.19%) showed predominantly upper pharyngeal obstruction and five cases(23.81%) showed predominantly lower pharyngeal obstruction. 3.There was little correlation between the retropalatal obstruction localized by the apneagraph and the Friedman′s stages. Conclusion The portable apneagraph can analyze sleep-related breathing disorders and identify the level of upper airway obstruction. It has great directive significance in selecting patients for UPPP.

Key words: Obstructive sleep apnea； Manometry； Uvulopalatopharyngoplasty

中图分类号:

R766.7

黄夏飞1，刘伟志2，肖宽林3 . 便携睡眠监测阻塞定位仪在悬雍垂腭咽成形术前评估中的作用[J]. 山东大学学报(医学版), 2010, 48(9): 127-130.

HUANG Xia-fei1， LIU Wei-zhi2， XIAO Kuan-lin3. Preoperative assessment of UPPP with a portable apneagraph [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2010, 48(9): 127-130.

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