Chen F J, Chang S Y, Shiao G M, Perng R P
Chest Department, Veterans General Hospital, Taipei.
Zhonghua Yi Xue Za Zhi (Taipei). 1991 Mar;47(3):176-80.
Thirty-one patients with obstructive sleep apnea syndrome underwent uvulopalatopharyngoplasty (UPPP). After three months, the average apnea/hypopnea index (AHI) decreased from 352.2 +/- 138.2 (mean +/- SD) to 182.2 +/- 140.4 episodes/hr and the duration of oxygen desaturation (less than 85%) decreased from 38.4 +/- 48.6 to 13.2 +/- 25.8 minutes. Although only 51.6% patients had a reduction of AHI greater than 50%, a questionnaire study revealed that most patients had subjective improvement of clinical symptoms and only mild complications were noted. We tried to find out the correlation between the efficacy of UPPP and the severity of obstructive sleep apnea and obese but failed. It is concluded that UPPP is the treatment of choice for obstructive sleep apnea syndrome in selective patients.
31例阻塞性睡眠呼吸暂停综合征患者接受了悬雍垂腭咽成形术（UPPP）。三个月后，平均呼吸暂停/低通气指数（AHI）从352.2±138.2（平均值±标准差）降至182.2±140.4次/小时，氧饱和度降低（低于85%）的持续时间从38.4±48.6分钟降至13.2±25.8分钟。虽然只有51.6%的患者AHI降低超过50%，但一项问卷调查显示，大多数患者临床症状有主观改善，且仅出现轻微并发症。我们试图找出UPPP疗效与阻塞性睡眠呼吸暂停严重程度及肥胖之间的相关性，但未成功。结论是，UPPP是选择性患者阻塞性睡眠呼吸暂停综合征的首选治疗方法。
