长期性喘在上部发育后:药物诱导睡眠内镜的见解
1Department of Head and Neck Surgery, University of California, Los Angeles, Los Angeles, California, USA.
概括
药物诱导的睡眠内镜检查显示,在尾前进 (MMA) 经常涉及舌头阻塞后,持续的阻塞性睡眠呼吸暂停 (OSA) 发生. 与没有手术的患者相比,MMA后的表腔阻塞更为频繁.
科学领域:
- 耳鼻喉科
- 睡眠医学
- 手术的结果
背景情况:
- 阻塞性呼吸暂停 (OSA) 是一种常见的疾病,其特征在于睡眠期间经常出现上呼吸道崩.
- 大部推进 (MMA) 是一种通过重新定位上下部来治疗OSA的手术程序.
- 在MMA后持续的OSA需要进一步调查剩余的呼吸道阻塞模式.
研究的目的:
- 使用药物诱导睡眠内镜 (DISE) 评估MMA后持续性OSA患者的上呼吸道阻塞模式.
- 通过VOTE分类来描述特定的阻塞部位 (舌头,毛皮,上腔,侧壁).
主要方法:
- 在一个学术医疗中心进行了横截面研究.
- 在24名患有OSA和MMA后术后呼吸暂停- 低呼吸指数 (AHI) ≥5事件/ h的成年患者中,进行了药物诱导睡眠内镜检查 (DISE).
- 呼吸道阻塞模式使用VOTE系统进行了分类 (垂卧,口腔,舌头,上腔).
主要成果:
- 24名患者接受了DISE,平均年龄为46. 4岁,女性为12%. 在MMA后的平均时间为889天,MMA后的AHI为18. 2事件/ h.
- 在DISE期间最常见的发现是与舌头相关的阻塞.
- 与没有先前喉手术的队列相比,MMA后的患者表现出较少的膜和喉侧壁阻塞,但更多的表关节阻塞.
结论:
- 患有MMA后持续性OSA的患者的上呼吸道阻塞涉及多个解剖部位.
- 基于舌头的阻塞是常见的,而与尾相关的阻塞在MMA后比没有先前喉手术的患者更为普遍.
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