| 赵辉明,刘琦.术前药物诱导睡眠内镜检查对阻塞性睡眠呼吸暂停低通气综合征病人手术效果的价值分析[J].安徽医药,2026,30(7):1394-1398. |
| 术前药物诱导睡眠内镜检查对阻塞性睡眠呼吸暂停低通气综合征病人手术效果的价值分析 |
| Analysis of the predictive value of preoperative DISE monitoring on the surgical outcomes of OSAHS patients |
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| DOI：10.3969/j.issn.1009-6469.2026.07.024 |
| 中文关键词: 睡眠呼吸暂停，阻塞性 药物诱导睡眠内镜 阻塞部位 手术疗效 预测价值 |
| 英文关键词: Sleep apnea, obstructive Drug-induced sleep endoscopy Obstruction site Surgical efficacy Predictive value |
| 基金项目:石家庄市科学技术研究与发展计划项目( 231461223) |
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| 中文摘要: |
| 目的探讨术前药物诱导睡眠内镜( DISE)监测对阻塞性睡眠呼吸暂停低通气综合征( OSAHS)病人手术疗效的预测价值。方法回顾性选择 2023年 10月至 2024年 2月石家庄市人民医院收治的 116例 OSAHS病人为研究对象。根据 DISE监测结果制定手术方案。术后 6个月进行随访，根据手术疗效评价标准［呼吸暂停低通气指数( AHI)降低 ≥50%或 AHI≤12次/小时为显著有效， AHI降低 <50%为非显著有效］将病人分为显著有效组( n=72)和非显著有效组( n=44)。记录并比较两组病人术前 DISE监测的阻塞部位平面和程度。结果 1，16例 OSAHS病人中，显著有效 72例(有效率 62.07%)。两组在年龄、性别、身体质量指数(BMI)等一般资料方面差异无统计学意义(P>0.05)。在阻塞部位方面，显著有效组与非显著有效组在软腭(前 -后型、环形)、口咽侧壁(左 -右型)、舌根(前 -后型)及会厌(前 -后型)的阻塞程度分布上，均差异有统计学意义( P<0.05)。结论术前 DISE监测能够明确 OSAHS病人的上气道阻塞模式，为制定个性化手术方案提供依据，对手术疗效具有良好的预测价值。 |
| 英文摘要: |
| Objective To explore the predictive value of preoperative drug-induced sleep endoscopy (DISE) monitoring on the surgi-cal efficacy of patients with obstructive sleep apnea hypopnea syndrome (OSAHS).Methods A total of 116 OSAHS patients admittedto Shijiazhuang People's Hospital from October 2023 to February 2024 were retrospectively selected. Surgical plans were formulatedbased on DISE findings. Patients were followed up for 6 months after surgery. According to the surgical efficacy criteria (significant effi-cacy: AHI reduction ≥50% or postoperative AHI ≤12 events/h; non-significant efficacy: AHI reduction <50%), patients were divided in-to a significant efficacy group (n=72) and a non-significant efficacy group (n=44). The obstruction sites and degrees from preoperative DISE were recorded and compared between the two groups.Results Among the 116 OSAHS patients, 72 (62.07%) achieved signifi-cant surgical efficacy. No significant differences were found in general data such as age, sex, and body mass index (BMI) between thetwo groups (P>0.05). Regarding obstruction sites, significant differences were observed in the distribution of obstruction degrees at thesoft palate (anteroposterior and concentric types), lateral oropharyngeal wall (laterolateral type), tongue base (anteroposterior type), andepiglottis (anteroposterior type) between the two groups (all P<0.05).Conclusion Preoperative DISE monitoring can identify the pat-tern of upper airway collapse in OSAHS patients, provide a basis for personalized surgical planning, and has a good predictive value forsurgical outcomes. |
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