摘要
目的评价上气道多平面手术对阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apnea hypopnea syndrome，OSAHS）患者吞咽相关生活质量的影响。方法应用SWAL-QOL吞咽量表对68例OSAHS患者手术前及术后进行问卷调查。根据是否行舌根手术，将患者分为腭部手术组29例和腭部与舌后区联合手术的多平面手术组39例，比较两组患者手术前后吞咽相关生活质量的变化。结果腭部手术组术后在进食时间、症状频率维度生活质量较术前差（P〈0．01）；多平面手术组在心理负担、进食时间、症状频率、语言交流、心理健康及社会交往等维度术后较术前差（P〈0．05～0．01）；两组术后得分比较，在心理负担、进食时间、症状频率、语言交流、心理健康及社会交往等维度，多平面手术组较腭部手术组差（P〈0．05-0．01）。结论上气道多平面手术对OSAHS患者术后吞咽相关生活质量有一定影响．
Objective To explore the effects of upper airway multi-level surgeries on the swallowing-related quality of life in patients with obstructive sleep apnea hypopnea syndrome（OSAHS）. Methods The SWAL-QOL questionnaire was given to 68 OSAHS patients before and 6-17 months after surgeries. Depending on whether the tongue base operations were done, the patients were divided into two groups：the multi-level operation group（ n = 39） and the retropalatal operation group（ n = 29）. The swallowing-related quality of life was evaluated before and after the operations. Results Velopharyngeal insufficiency occurred in 31 patients（45.59% ）, choking when eating or drinking in 13 （19.1% ）, eating slower than normal in 14 （20.6%） and double swallows or needing great efforts in 5 （7.35%）. The retropalatal operation group had significant differences before and after surgeries in eating duration and symptom frequency dimentions （ P 〈 0.01 ）. The multi-level operation group had lower scores in berden（ P = 0. 041 ）, eating duration（ P = 0. 002）, symptom frequency（ P = 0.000）, communication （ P = 0.007）, mental health （ P = 0.000） and social interaction（ P = 0.041） after surgeries than before surgeries. Following the operations, the scores of the multi-level operation group also were lower than the retropalatal operation group in berden（ P = 0. 047）, eating duration （ P = 0.016）, symptom frequency（ P = 0.016）, communication（ P = 0.010）, mental health（P = 0.047）and social interaction（ P =0.047）. Conclusion Upper airway multi-level surgeries have negative effects on the swallowing-related quality of life.
出处
《山东大学耳鼻喉眼学报》
CAS
2007年第6期507-510,532,共5页
Journal of Otolaryngology and Ophthalmology of Shandong University
基金
国家十五攻关项目(2004BA720A17)
关键词
睡眠呼吸暂停
阻塞性
生活质量
吞咽
外科手术
Sleep apnea, obstructive
Quality of life
Swallow
Surgical procedures, operative
作者简介
神平（1972-），女，主治医师，主要从事睡眠呼吸暂停基础与临床研究。
通讯作者：李五一，教授，主任医师。主要从事头颈肿瘤、阻塞性睡眠呼吸暂停综合征和音声外科治疗研究。Email：liwuyi_pumch@yahoo．com．cn.
