Nishimura T, Morishima N, Hasegawa S, Shibata N, Iwanaga K, Yagisawa M
ENT Department of Fujita Health University Second Hospital, Nagoya, Japan.
Acta Otolaryngol Suppl. 1996;523:231-3.
The statistical analysis of data obtained by monitoring pre- and post-operative conditions of patients treated for sleep apnea syndrome is reported. In the past 3 years, surgery was performed on 149 patients (55 children and 94 adults), who complained of snoring and symptoms related to the sleep apnea syndrome at Fujita Health University, The Second Hospital. Treatment for children was adeno-tonsillectomy. Treatment for adults was uvulo-palato-pharyngoplasty (UPPP), midline laser glossectomy (MLG) and/or nasal surgery. Apnea hypopnea index was defined as frequency of apnea hypopnea per hour. Pathological apnea (sleep apnea syndrome) was defined as apnea hypopnea (AHI) 10 in adults and AHI 5 in children. Marked improvement was defined as 75% reduction in AHI or a postoperative AHI below 10 in adults and 5 in children. Improvement was defined as 50-74% reduction of AHI. Slight improvement was defined as 25-49% reduction of AHI. No improvement was defined as less than 25% reduction of AHI. Of these 55 children, the AHI of 35 of them was above 5. Thirty cases (86%) showed marked improvement after treatment; 3 cases (8%) showed improvement; 1 case (3%) slight improvement and 1 case (3%) no improvement. Of these 94 adults, 40 cases (48%) showed marked improvement after treatment; 12 cases (14%) showed improvement; 14 cases (17%) slight improvement and 18 cases (21%) no improvement at all.
报告了对接受睡眠呼吸暂停综合征治疗的患者术前和术后状况监测所获数据的统计分析。在过去3年里，藤田保健大学第二医院对149例主诉打鼾及与睡眠呼吸暂停综合征相关症状的患者进行了手术（55例儿童和94例成人）。儿童的治疗方法是腺样体扁桃体切除术。成人的治疗方法是悬雍垂腭咽成形术（UPPP）、中线激光舌切除术（MLG）和/或鼻腔手术。呼吸暂停低通气指数定义为每小时呼吸暂停低通气的频率。病理性呼吸暂停（睡眠呼吸暂停综合征）定义为成人呼吸暂停低通气指数（AHI）≥10，儿童AHI≥5。显著改善定义为AHI降低75%或术后成人AHI低于10、儿童AHI低于5。改善定义为AHI降低50 - 74%。轻度改善定义为AHI降低25 - 49%。无改善定义为AHI降低不足25%。在这55例儿童中，35例的AHI高于5。30例（86%）治疗后显示显著改善；3例（8%）显示改善；1例（3%）轻度改善；1例（3%）无改善。在这94例成人中，40例（48%）治疗后显示显著改善；12例（14%）显示改善；14例（17%）轻度改善；18例（21%）完全无改善。
