中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
18期
110-111
,共2页
睡眠呼吸暂停低通气综合征%阻塞性%定位诊断
睡眠呼吸暫停低通氣綜閤徵%阻塞性%定位診斷
수면호흡잠정저통기종합정%조새성%정위진단
Sleep apnea hypopnea syndrome%Obstructive%The localization diagnosis
目的：探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的腭后区和舌后区可能造成阻塞的差别。方法：在医院内随机抽取46例OSAHS患者，分别采用纤维喉镜结合Mǚller检查(FPMM)和整夜上气道压力测定(UAPM)两种方法对患者腭后区和舌后区阻塞进行判定。采用UAPM法的患者要求采用阻塞构成比＞30%作为判定阻塞的标准。结果：采用UAPM法的患者，腭后区阻塞36例(72%)，舌后区阻塞31例(58%)。采用FPMM法的患者，分别采用塌陷度≥75%，塌陷度≥90%，两个不同的数值范围作为判定腭后区阻塞的标准时，腭后区阻塞的例数、检出率及一致性系数随着塌陷度的增大而增大，分别采用塌陷度≥75%，塌陷度≥50%为判定舌后区阻塞的标准时，阻塞的例数、检出率及一致性系数随着塌陷度的增加而降低。结论：用FPMM和UAPM这两种方法对腭后区和舌后区进行判定，腭后区阻塞的一致性高于舌后区，为使FPMM和UAPM这两种方法判断的一致性，可以适当提高FPMM判定腭后区阻塞的标准而降低其判定舌后区阻塞的标准。
目的：探討阻塞性睡眠呼吸暫停低通氣綜閤徵(OSAHS)患者的腭後區和舌後區可能造成阻塞的差彆。方法：在醫院內隨機抽取46例OSAHS患者，分彆採用纖維喉鏡結閤Mǚller檢查(FPMM)和整夜上氣道壓力測定(UAPM)兩種方法對患者腭後區和舌後區阻塞進行判定。採用UAPM法的患者要求採用阻塞構成比＞30%作為判定阻塞的標準。結果：採用UAPM法的患者，腭後區阻塞36例(72%)，舌後區阻塞31例(58%)。採用FPMM法的患者，分彆採用塌陷度≥75%，塌陷度≥90%，兩箇不同的數值範圍作為判定腭後區阻塞的標準時，腭後區阻塞的例數、檢齣率及一緻性繫數隨著塌陷度的增大而增大，分彆採用塌陷度≥75%，塌陷度≥50%為判定舌後區阻塞的標準時，阻塞的例數、檢齣率及一緻性繫數隨著塌陷度的增加而降低。結論：用FPMM和UAPM這兩種方法對腭後區和舌後區進行判定，腭後區阻塞的一緻性高于舌後區，為使FPMM和UAPM這兩種方法判斷的一緻性，可以適噹提高FPMM判定腭後區阻塞的標準而降低其判定舌後區阻塞的標準。
목적：탐토조새성수면호흡잠정저통기종합정(OSAHS)환자적악후구화설후구가능조성조새적차별。방법：재의원내수궤추취46례OSAHS환자，분별채용섬유후경결합Mǚller검사(FPMM)화정야상기도압력측정(UAPM)량충방법대환자악후구화설후구조새진행판정。채용UAPM법적환자요구채용조새구성비＞30%작위판정조새적표준。결과：채용UAPM법적환자，악후구조새36례(72%)，설후구조새31례(58%)。채용FPMM법적환자，분별채용탑함도≥75%，탑함도≥90%，량개불동적수치범위작위판정악후구조새적표준시，악후구조새적례수、검출솔급일치성계수수착탑함도적증대이증대，분별채용탑함도≥75%，탑함도≥50%위판정설후구조새적표준시，조새적례수、검출솔급일치성계수수착탑함도적증가이강저。결론：용FPMM화UAPM저량충방법대악후구화설후구진행판정，악후구조새적일치성고우설후구，위사FPMM화UAPM저량충방법판단적일치성，가이괄당제고FPMM판정악후구조새적표준이강저기판정설후구조새적표준。
Objective:To investigate the difference of pharyngeal and lingual region may cause obstruction in the patients with obstructive sleep apnea hypopnea syndrome(OSAHS).Methods:46 cases with OSAHS were randomly selected in the hospital.We used the fiber laryngoscope combined with M agreement ller examination(FPMM) and night of upper airway pressure measurements(UAPM) methods to judge on the obstruction is pharyngeal or lingual region.The cases who used the method of UAPM by blocking ratio>30% as a judge blocked standard.Results:In the cases who used the method of UAPM,36 cases were pharyngeal obstruction(72%),31 cases were obstruction of the lingual region(58%).In the cases who used the method of FPMM, respectively by the collapse degree≥75% ,collapse degree≥90% .Two different numerical range as the judging standard pharyngeal obstruction.The number of pharyngeal obstruction detection rate and consistency coefficient increases with increasing the degree of collapse,respectively by the collapse degree≥75%,collapse degree≥50% for the determination of the lingual region blocking standard.The number of occlusion detection rate and consistency coefficient decreased with increasing the degree of collapse.Conclusion:On the palate and lingua region are determined by FPMM and UAPM these two kinds of methods.Consistency pharyngeal obstruction is higher than the lingual region.For the consistency that FPMM and UAPM of the two methods,it can improve FPMM determine the pharyngeal obstruction and reduce its judgment standard of lingual region blocking criteria.
