Zhonghua er bi yan hou ke za zhi · 2001
[Long-term follow-up of patients with obstructive sleep apnea syndrome treated with uvulopalatopharyngoplasty].
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She W, Wang J, Qian X, Hang M
Аннотация
OBJECTIVE: To study the long-term outcome of uvulopalatopharyngoplasty (UPPP) in the treatment of obstructive sleep apnea syndrome (OSAS).
METHODS: Long-term follow-up for 32 cases of patients with OSAS was conducted in 3 years after UPPP. The respiratory disturbance index (RDI), body mass index (BMI), blood pressure (BP), fasting blood glucose (FBG), triglyceride, cholesterol were followed.
RESULTS: RDI was reduced markedly from 58.1 +/- 25.5 to 38.7 +/- 15.3 at 3 years after UPPP. The total effective rate was 87.5% after one month. 55.2% after 3 years. Their BMI, BP, FBG, triglyceride and cholesterol were also reduce significantly.
CONCLUSION: UPPP can improve the hypoxemia of patients with OSAS, reduced the BP, FBG, BMI, improve the lipid metabolism. Long-term outcomes of UPPP were possibly related to the preoperative BMI, RDI, the skeletal structure of the upper airway and postoperative BMI change. After UPPP, long-term follow-up is recommended because some initially successfully treated patients with OSAS will relapse in the later follow-up.
METHODS: Long-term follow-up for 32 cases of patients with OSAS was conducted in 3 years after UPPP. The respiratory disturbance index (RDI), body mass index (BMI), blood pressure (BP), fasting blood glucose (FBG), triglyceride, cholesterol were followed.
RESULTS: RDI was reduced markedly from 58.1 +/- 25.5 to 38.7 +/- 15.3 at 3 years after UPPP. The total effective rate was 87.5% after one month. 55.2% after 3 years. Their BMI, BP, FBG, triglyceride and cholesterol were also reduce significantly.
CONCLUSION: UPPP can improve the hypoxemia of patients with OSAS, reduced the BP, FBG, BMI, improve the lipid metabolism. Long-term outcomes of UPPP were possibly related to the preoperative BMI, RDI, the skeletal structure of the upper airway and postoperative BMI change. After UPPP, long-term follow-up is recommended because some initially successfully treated patients with OSAS will relapse in the later follow-up.