在药物诱导的睡眠内镜中使用西美西康可以改善可见度
Daniel Ben Ner1,2, Igor Vainer3,4, Song Tar Toh5,6
1Department of Otolaryngology Head and Neck Surgery, Rabin Medical Center, Petah Tikva, Israel. Danielbenner1986@gmail.com.
Sleep & breathing = Schlaf & Atmung
|December 19, 2023
概括
在药物诱导睡眠内镜 (DISE) 期间,西米西康显著改善可见性,用于阻塞性睡眠呼吸暂停 (OSA) 手术规划. 这种除泡剂增强可视化,有助于对OSA患者进行更好的外科评估.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 胃肠病学 胃肠病学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种常见的睡眠障碍.
- 药物诱导睡眠内镜 (DISE) 对于OSA手术规划至关重要.
- 在DISE期间改善可视化对于准确的诊断和治疗至关重要.
研究的目的:
- 为了评估simethicone的有效性,一个除泡剂,在提高DISE期间的可见性.
- 为了确定simethicone是否改善了OSA患者内镜可视化的质量.
主要方法:
- 对OSA患者进行了回顾性病例系列研究,这些患者未能接受正气道压力 (PAP) 治疗.
- 通过和没有simethicone管理进行的DISE程序的比较.
- 两个外科医生对DISE可见度进行独立评分,并评估评分员之间的可靠性.
主要成果:
- 西米西康显著改善了DISE的可见性 (p=0.03).
- "最佳可见度"在55%的simethicone病例中实现,而没有simethicone病例的27% (p=0.02).
- 施用西梅西康是影响视力的唯一显著因素 (p=0.02),具有很强的评分间可靠性 (科恩-卡帕=0.7).
结论:
- 西米西康有效地提高了DISE可见性,用于OSA手术规划.
- 进一步的研究是有必要的,以优化simethicone的管理,并探索其对手术结果的临床影响.
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