Rollheim J, Miljeteig H, Osnes T
Colosseumklinikken, Oslo, Norway.
Laryngoscope. 1999 Mar;109(3):411-4. doi: 10.1097/00005537-199903000-00013.
OBJECTIVE/HYPOTHESIS: To investigate whether body mass index (BMI) can be used to predict subjective improvement of snoring after laser-assisted uvulopalatoplasty (LAUP).
One hundred nineteen consecutive adult patients who had LAUP performed for socially disruptive snoring were contacted by mail 3 months after surgery and asked to complete a questionnaire with the following alternatives as to the effect of surgery on their snoring: no improvement (1); some improvement (2); moderate improvement (3); substantial improvement (4) and abolished snoring (5). Patients reporting to categories 3, 4, or 5 were referred to as responders and to categories 1 or 2 as nonresponders. Seventy patients (59%) completed the questionnaire.
A one-stage LAUP was performed with local anesthesia in an outpatient ear, nose, and throat clinic with a CO2 laser. Patients were divided into two categories with BMI above and below 28 kg/m2 at the time of surgery.
BMI correlated significantly with subjective postoperative improvement. (R = 0.29; P < .02; Pearson's correlation test). Odds ratio (OR) for success by BMI less than 28 kg/m2 compared to patients with BMI greater than 28 kg/m2 was 4.8 (95% confidence interval [CI]: 1.48-15.53).
BMI is a simple, yet important predictor of subjective reduction of snoring after LAUP and should be considered before performing such surgery.
目的/假设：探讨体重指数（BMI）是否可用于预测激光辅助悬雍垂腭咽成形术（LAUP）后打鼾主观改善情况。
对119例因社会交往中打鼾而接受LAUP手术的成年患者，术后3个月通过邮件联系，要求他们完成一份问卷，问卷中有以下关于手术对其打鼾影响的选项：无改善（1）；有一些改善（2）；中度改善（3）；显著改善（4）；打鼾消失（5）。报告为3、4或5类的患者被称为有反应者，1或2类的患者被称为无反应者。70例患者（59%）完成了问卷。
在门诊耳鼻喉科诊所使用二氧化碳激光在局部麻醉下进行一期LAUP手术。患者在手术时被分为BMI高于和低于28kg/m²两类。
BMI与术后主观改善显著相关（R = 0.29；P < .02；Pearson相关检验）。与BMI大于28kg/m²的患者相比，BMI小于28kg/m²患者成功的优势比（OR）为4.8（95%置信区间[CI]：1.48 - 15.53）。
BMI是LAUP术后打鼾主观减轻的一个简单但重要的预测指标，在进行此类手术前应予以考虑。
