改良式腭咽成形术治疗阻塞性睡眠呼吸暂停低通气综合征并高血压临床观察

目的 探讨改良式腭咽成形术（H-UPPP）治疗阻塞性睡眠呼吸暂停低通气综合征（OSAHS）并高血压的临床疗效.方法 回顾性分析100例OSAHS并高血压患者的临床资料,统计分析患者治疗前后血压及呼吸相关参数变化情况.结果 OSAHS经手术治疗治愈率为37%,有效率为81%;其中手术有效患者中1级高血压全部治愈（100%,46/46）,2级高血压治愈率为37%（13/35）,总有效率88%（30/35）.无效的19例患者中3级高血压3例,2级高血压16例.结论 H-UPPP能在较为彻底治愈OSAHS的同时,明显降低由OSAHS所诱发的高血压,可作为有适应证的该病患者的首选治疗方法.

The effect of H-UPPP operation on obstructive sleep apnea hypopnea syndrome patients with hypertension

Objective To explore the effect of the H-uvulopalatopharyngology(H-UPPP)on the obstructive sleep apnea hypopnea syndrome(OSAHS)with hypertension sufferers.Methods The clinical data of 100 cases of OSAHS patients with hypertension were analyzed retrospectively,and the related parameters about changes of blood pressure and respiration were analyzed.Results The sargical operation treatment cure rate of OSAHS eas 37%,and the effective rate was 81%.In those patients.all the hypertension patients who in the first stage were completely cured (46/46),while for whom in the second stage,the cure rate was 37%(13/35).So the total effective rate of experimental group Was 88%(30/35).19 cases was ineffective.In those 19 patients,there were 16 patients in the second stage,while 3 cases in the third stage.Conclusion H-UPPP could completely cure OSAHS,meanwhile,it also obviously lowered hypertension which induced by OSAHS,and made the sufferers keep at relative normal blood pressure for a long time.So H-UPPP Was a best treatment method to the OSAHS patients with hypertension.