JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (5): 6-10.doi: 10.6040/j.issn.1673-3770.0.2015.231

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Short-term efficacy of surgical treatment of moderate to severe obstructive sleep apnea syndrome

XIA Cui, GAO Tianxi, HOU Jin, WANG Ting, ZHENG Guoxi   

  1. Department of Otorhinolaryngology, Second Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China
  • Received:2015-06-09 Revised:2015-09-22 Online:2015-10-16 Published:2015-10-16

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Abstract: Objective To evaluate the surgical treatment efficacy and change of quality of life of patients with moderate or severe obstructive sleep apnea syndrome (OSAHS). Methods Clinical data of 48 patients with OSAHS confirmed by polysomnography (PSG) were collected. Preoperative and postoperative apnea hyponea Index (AHI), lowest oxyhemoglobin saturation (LaSO2), mean oxyhemoglobin saturation (MSaO2), sleep efficiency and quality of life (determined by Quebec sleep questionnaire) were compared. Results ① After surgical treatment, AHI reduced from (56.3±18.2) to (28.4±20.8), and LaSO2 rose from (64.2±12.8) to (75.1±13.4). There were statistically significant differences (P<0.05). ② After surgical treatment, patients' quality of life was improved, especially the daytime sleepiness. ③ According to objective indicators, the cure rate was 5.5%, effectual rate was 25.0%, effective rate was 44.5%, ineffective rate was 25.0%, and the total effective rate was 75.0%. According to subjective symptoms, the total effective rate was 88.9%, of which daytime sleepiness was 61.1%, daytime symptom was 80.6%, nighttime symptom was 38.9%, emotion was 69.4%, social interaction was 61.1%. Conclusion To develop multi-plane individualized treatment programs based on different blocking plane is key to the success of surgical treatment of OSAHS, and can significantly improve patients' quality of life. To evaluate the surgical efficacy, both subjective and objective indicators should be considered.

Key words: Polysomnography, Quebec sleep questionnaire, Epworth sleepiness scale, Surgical treatment, Sleep apnea hypoapnea syndrome, obstructive

CLC Number: 

  • R766.7
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