体位干预治疗阻塞性睡眠呼吸暂停综合征和单纯性鼾症的疗效分析

目的探讨体位治疗阻塞性睡眠呼吸暂停综合征（OSAS）和单纯性鼾症（simplesnoring，SS）的适应证和疗效。方法对确诊为轻中度OSAS25例和ss16例患者进行体位干预治疗。干预前和干预后1个月各做一次多导睡眠图（PSG）监测及Epworth嗜睡量表（ESS）评分。结果OSAS患者体位治疗1个月后睡眠呼吸紊乱指数（AHI）较治疗前显著降低（P〈0．01），治疗后的醒后收缩压和舒张压均明显低于治疗前（P〈0．01），ESS评分也较治疗前得到改善（P〈0．05）。ss的睡眠打鼾时间和打鼾指数减少（P〈0．01）。结论体位治疗轻中度OSAS和SS有较好的疗效。

Indications and efficacy of postural intervention in the treatment of obstructive sleep apnea syndrome and simple snoring

Objective To investigate indications and efficacy of the postural treatment in obstructive sleep apnea syndrome and simple snoring （OSAS）. Methods Twenty-five patients with mild to moderate OSAS and 16 patients wifll simple snoring were treated by postural intervention. Before the intervention and one month after tile in- tervention, a PSG and ESS score were made in two groups. Results After treatment, AHI decreased compared with pretreatment （ P 〈 0. 05 ）, Systolic and diastolic blood pressure before bedtime and and after awaking decreased com- pared with pretreatment （ P 〈 0.05 ）. ESS was also improved compared with pretreatment （ P 〈 0. 05 ）, the snoring time and snoring index decreased in simple snoring group （ P 〈 0. 05 ）. Conclusion Postural treatment for mild to moderate obstructive sleep apnea syndrome and simple snoring are effective.