数字X线评价低温射频消融术治疗阻塞性睡眠呼吸暂停低通气综合征的临床疗效.doc

《数字X线评价低温射频消融术治疗阻塞性睡眠呼吸暂停低通气综合征的临床疗效.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、数字X线评价低温射频消融术治疗阻塞性睡眠呼吸暂停低通气综合征的临床疗效12345678910111213141516171819202123242526272829303132333435363738394041424344AbstractInthisstudy,100casesofpatientswithobstructivesleepapneahypopneasyndromewerechosenasobservationgroup.100casesofhealthysubjectswereascontrolgroup.Observationgroupweretreatedbylowt

2、emperatureradiofrequencyablation.AftercontrastingthelevelsofdigitalX・rayrelatedindicatorsoferanialpharynxministryincontrolgroupandobservationgroupbeforeoperation,wefoundthattherewerenosignificantdifferencesbetweenthetwogroupsofSNA,SNB,SPL,SPEV・LPWandH-MPlevels(p>0.05).ButtheNA/PA、ANB、U・MPW、PNS

3、・R、PASandH-CVPofobservationgroupwereallhigherthanthoseofcontrolgroup.Thedifferenceswerestatisticallysignificant(p<0.05).AndtherewerenosignificantdifferencesinobservationgroupofNA/PAandPNS・Rlevelsbeforeandafteroperation(p>0.05).ButthelevelsofANB?U-MPW,PASandH-CVPononemonthafteroperationwereo

4、bviouslylowerthanbeforeoperation(p<0.05).Aftercontrastingsleep-relatedindicatorsinobservationgroupbeforeandafteroperation,wefoundthattheIongesttimeofapneaandAHIonsixmonthsafteroperationwereobviouslylowerthanbeforeoperation(p<0.05).AndtheLSaO2onsixmonthsafteroperationwassign讦icantlyhighertha

5、nbeforeoperation(p<0.05).Inconclusion,digitalX・rayrelatedindicatorsoferanialpharynxministrycanevaluatethealterativeextentofairpassagepathologyandthemorphologicalchangesofsurroundingorgans.AndthechangesofANBaU-MPW>PASandH-CVPindexesofdigitalX・raycanbetterevaluatetheclinicaleffectoftemperature-c

6、ontrolledradiofrequencyablationinthetreatmentofobstructivesleepapneahypopneasyndrome.Theycanbeclinicalreferentialindicators.KeywordsDigitalX・ray,Temperature-controlledRadiofrequencyAblation,ObstructiveSleepApneaHypopneaSyndrome,ClinicalEffect阻塞性睡眠呼吸暂停低通气综合征(obstructivesleepapneahypopneasyndrome,O

7、SAHS)是睡眠时上气道反复塌陷阻塞引起的呼吸暂停和低通气，常伴有打鼾、睡眠结构紊乱、频繁发生血氧饱和度下降、白天嗜睡、头晕乏力、注意力不集中等症状。随着饮食结构的变化和工作压力的增大，该病发病率呈逐年增高趋势(Caoetal.,2015)o且病情进一步发展可发生高血压、冠心病、肺心病、肾脏衰竭、呼吸衰竭以454647484950515253545556及精神异常筹多器官多系统损害，严重威胁患者的生命健康。目前临床上治疗OSAHS主