Zhang Xiao-Qing, Liu Li-Jun, Li Xiao-Ying, Li Xiao-Qin, Jiang Li-Qiong, Zeng Ping, Zhang Qin
Department of Occupational Health and Sleep Medicine Center, West China School of Public Health and West China Forth Hospital, Sichuan University, No.18, Section 3, Renmin South Road, Wuhou District, Chengdu, Sichuan, 610041, People's Republic of China.
Sleep Breath. 2021 Jun;25(2):829-834. doi: 10.1007/s11325-020-02229-4. Epub 2020 Oct 31.
To explore the effect of minimally invasive surgical treatment on the sleep quality and work ability of patients with obstructive sleep apnea-hypopnea syndrome (OSAHS).
Fifty-one patients who underwent minimally invasive surgery in the Sleep Respiratory Disease Diagnostic and Treatment Center of the West China Fourth Hospital of Sichuan University from January 2017 to January 2019 were selected as study subjects. All subjects completed polysomnography monitoring (PSG), an Epworth sleepiness scale (ESS), and a work ability index (WAI) before and 1 year after the minimally invasive surgery so that the changes could be compared.
(1) The apnea-hypopnea index (AHI), microarousal index (MAI), ESS, longest duration of apnea, and longest duration of hypoventilation in OSAHS patients decreased, while the lowest blood oxygen saturation (LsaO) increased after minimally invasive surgery. The differences were statistically significant (p < 0.05). (2) The WAI questionnaire score increased from (37.76 ± 4.46) to (40.00 ± 4.53) after minimally invasive surgery (P < 0.05). (3) The change in the WAI questionnaire score after minimally invasive surgery was influenced by the occupational category and the change in ESS.
Minimally invasive surgical treatment shows significant benefit in improving the sleep quality and working ability of patients with OSAHS.
探讨微创手术治疗对阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患者睡眠质量和工作能力的影响。
选取2017年1月至2019年1月在四川大学华西第四医院睡眠呼吸疾病诊疗中心接受微创手术的51例患者作为研究对象。所有受试者在微创手术前后1年均完成多导睡眠图监测（PSG）、爱泼沃斯嗜睡量表（ESS）和工作能力指数（WAI），以便比较变化情况。
（1）OSAHS患者微创手术后呼吸暂停低通气指数（AHI）、微觉醒指数（MAI）、ESS、最长呼吸暂停时间和最长通气不足时间降低，而最低血氧饱和度（LsaO）升高。差异有统计学意义（p<0.05）。（2）微创手术后WAI问卷评分从（37.76±4.46）提高到（40.00±4.53）（P<0.05）。（3）微创手术后WAI问卷评分的变化受职业类别和ESS变化的影响。
微创手术治疗对改善OSAHS患者的睡眠质量和工作能力有显著益处。
