在阻塞性睡眠呼吸暂停患者的巴前进手术后主观效率评估
Karel Kuik1, Misha L Tan1, Jean-Pierre T F Ho1,2
1Department of Oral Maxillofacial Surgery, Amsterdam University Medical Center, Location AMC, 1105 AZ Amsterdam, The Netherlands.
Journal of clinical medicine
|June 28, 2023
概括
上下 (MMA) 手术显著改善了阻塞性睡眠呼吸暂停 (OSA) 患者的主观结果,尽管它对下功能产生了负面影响. 这种手术为OSA提供了可行的治疗选择,提高了整体生活质量.
科学领域:
- 口腔和牙面部外科手术
- 睡眠医学 睡眠医学
- 生活质量研究 研究 生命质量研究
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种常见的疾病,对健康有重大影响.
- 上部推进 (MMA) 手术是严重或耐火性OSA的治疗选择.
- 评估MMA后患者的主观结果对于了解治疗疗效至关重要.
研究的目的:
- 在患有阻塞性睡眠呼吸暂停 (OSA) 的患者中,评估MMA手术后的主观效率结果.
- 用验证的问卷来比较患者在MMA手术前后报告的结果.
主要方法:
- 一项前性队列研究,涉及30名接受MMA手术的严重或不耐治疗的OSA患者.
- 使用的验证问卷:爱普沃思睡眠度量 (ESS),睡眠问卷的功能结果 (FOSQ),下功能障碍问卷 (MFIQ) 和EQ-5D-3L.
- 收集的数据为手术前1周和手术后至少6个月.
主要成果:
- 在MMA后的ESS,FOSQ,EQ-5D和EQ-VAS得分中观察到显著的改善 (p < 0.01).
- 呼吸暂停/呼吸暂停指数的客观改善 (p < 0.01) 与主观收益相关.
- 据MFIQ得分 (p < 0.01) 显示,下功能显著下降.
结论:
- MMA手术有效地改善了主观的结果和客观的睡眠呼吸暂停指标.
- 患者报告的生活质量和嗜睡在MMA后显著改善.
- 手术后下功能障碍是MMA手术的一个显著后果.
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