CAJ | 학술논문

目的探讨改良腭咽成形术治疗阻塞性睡眠呼吸暂停综合征的临床疗效。方法将80例阻塞性睡眠呼吸暂停综合征患者按照抛硬币方法随机分为两组，分别标记为对照组、治疗组。对照组40例患者采用传统悬雍垂腭咽成形术（UPPP）治疗，治疗组40例患者采用改良腭咽成形术治疗，比较两组患者治疗效果及并发症情况。结果两组患者治疗后嗜睡、打鼾较治疗前均有所改善，但是治疗组改善更为明显，两组患者治疗前后差异具有统计学意义（<0.05）；对照组患者术后并发症发生率为22.5%，治疗组患者术后并发症发生率为10.0%，两组比较差异具有统计学意义（<0.05）。结论改良腭咽成形术治疗阻塞性睡眠呼吸暂停综合征疗效更确切，值得临床进一步推广应用。
목적탐토개량악인성형술치료조새성수면호흡잠정종합정적림상료효。방법장80례조새성수면호흡잠정종합정환자안조포경폐방법수궤분위량조，분별표기위대조조、치료조。대조조40례환자채용전통현옹수악인성형술（UPPP）치료，치료조40례환자채용개량악인성형술치료，비교량조환자치료효과급병발증정황。결과량조환자치료후기수、타한교치료전균유소개선，단시치료조개선경위명현，량조환자치료전후차이구유통계학의의（<0.05）；대조조환자술후병발증발생솔위22.5%，치료조환자술후병발증발생솔위10.0%，량조비교차이구유통계학의의（<0.05）。결론개량악인성형술치료조새성수면호흡잠정종합정료효경학절，치득림상진일보추엄응용。
Objective Explore improved clinical ef icacy of uvulopalatopharyngoplasty treatment of obstructive sleep apnea syndrome. Methods 80 patients with obstructive sleep apnea syndrome coin toss method according to randomized into two groups,labeled as the control group,treatment group.Control group of 40 patients were treated with traditional surgery uvulopalatopharyngoplasty (UPPP) treatment group of 40 patients using the modified UPPP therapy,treatment and complications were compared in patients.Results After treatment,sleepiness,snoring than before treatment have improved,but the improvement in the treatment group was more obvious differences between the two groups of patients before and after treatment was statistical y significant ( <0.05);postoperative complications occurred in patients in the control group was 22.5% of patients after treatment complication rate was 10.0% in the group,the dif erence was statistical y significant ( <0.05).Conclusion Modified uvulopalatopharyngoplasty treatment of obstructive sleep apnea syndrome is more precise,symptoms improved significantly,fewer complications,is safe and ef ective and is worthy of further promotion.