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阻塞性睡眠呼吸暂停患者倒刺重新定位咽成形术后的生活质量:一家二级医院的前后对照半实验性研究

Quality of life post barbed reposition pharyngoplasty in obstructive sleep apnea patients: A pre-post quasi-experimental study at secondary hospital.

作者信息

Abbas Frat, Nasur Mohammed Ali Kayidon, Makki Hossam, Al-Qudimat Ahmad R

机构信息

ORL-Head &Neck Surgery Department, Al-Khor Hospital, Hamad Medical Corporation, Al-Khor, Qatar.

Surgical Research Section, Surgery Department, Hamad Medical Corporation, Doha, Qatar.

出版信息

Qatar Med J. 2025 Jun 9;2025(2):37. doi: 10.5339/qmj.2025.37. eCollection 2025.

Abstract

BACKGROUND

Obstructive sleep apnea syndrome (OSAS) significantly impacts patients' quality of life (QOL) due to symptoms such as impaired sleep and reduced daily functioning. Barbed reposition pharyngoplasty (BRP) has emerged as a surgical intervention aimed at alleviating these symptoms. However, its effect on patients' QOL remains underexplored.

OBJECTIVES

To evaluate the impact of BRP surgery on a patient's QOL with OSAS.

METHODS

Our study had a quasi-experimental design, which was conducted for 40 adult OSAS patients (one group) from 2015 to 2023 between men and women with inclusion criteria above 18 years old who had been diagnosed with OSAS and who had BRP surgery. We measured the impact of this surgery on patient satisfaction by correlating the subjective measures of the pre- and post-operative self-administered the Functional Outcomes of Sleep Questionnaire (FOSQ) as one of the prognostic indicators.

RESULTS

The study included 40 participants, with ages ranging from their 30s to 60s. The mean age of the participants is 44.5 years (SD ± 9.5). Mean FOSQ scores had a significant increase ( < 0.001) in all domains (general productivity, activity level, vigilance, social outcomes, intimate) when comparing pre-operative mean scores with post-operative mean scores. No statistically significant differences were observed in mean percentage change from baseline FOSQ when compared between males and females ( > 0.05) for all domains (general productivity, activity level, vigilance, social outcomes, intimate).

CONCLUSION

BRP surgery seems to have a significant impact on patient satisfaction in OSAS patients as it reflects on their health-related QOL mood, social outcome, and daily activity and improves their quality of sleep.

摘要

背景

阻塞性睡眠呼吸暂停综合征(OSAS)因睡眠障碍和日常功能下降等症状,严重影响患者的生活质量(QOL)。倒刺复位咽成形术(BRP)已成为一种旨在缓解这些症状的外科干预手段。然而,其对患者生活质量的影响仍未得到充分研究。

目的

评估BRP手术对OSAS患者生活质量的影响。

方法

本研究采用准实验设计,于2015年至2023年对40名成年OSAS患者(一组)进行研究,纳入标准为年龄在18岁以上、已被诊断为OSAS且接受了BRP手术的男性和女性。我们通过将术前和术后自行填写的睡眠功能结果问卷(FOSQ)的主观测量结果作为预后指标之一,来关联该手术对患者满意度的影响。

结果

该研究纳入了40名参与者,年龄在30多岁至60多岁之间。参与者的平均年龄为44.5岁(标准差±9.5)。将术前平均得分与术后平均得分进行比较时,所有领域(总体生产力、活动水平、警觉性、社交结果、亲密关系)的平均FOSQ得分均有显著提高(<0.001)。在所有领域(总体生产力、活动水平、警觉性、社交结果、亲密关系)中,男性和女性从基线FOSQ的平均百分比变化比较中未观察到统计学上的显著差异(>0.05)。

结论

BRP手术似乎对OSAS患者的满意度有显著影响,因为它反映在患者与健康相关的生活质量情绪、社交结果和日常活动中,并改善了他们的睡眠质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/169b/12183657/7b2fd662bce7/qmj-2025-02-037-g001.jpg

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