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清醒及诱导睡眠状态下电子喉镜对阻塞性睡眠呼吸暂停低通气综合征定位诊断的比较
引用本文:蒋桃根,晁杰伟,曹剑,王永田,施丽华.清醒及诱导睡眠状态下电子喉镜对阻塞性睡眠呼吸暂停低通气综合征定位诊断的比较[J].临床耳鼻咽喉头颈外科杂志,2009,23(9):397-399.
作者姓名:蒋桃根  晁杰伟  曹剑  王永田  施丽华
作者单位:1. 上海市杨浦区市东医院耳鼻咽喉科,上海,200438
2. 上海市杨浦区市东医院麻醉科
摘    要:目的:比较在清醒及诱导睡眠两种不同状态下,电子喉镜对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)定位诊断结果的差异。方法:经多导睡眠监测确诊的98例OSAHS患者,分别在清醒状态及用咪唑安定诱导睡眠后用电子喉镜对其上呼吸道进行动态观察,以确定阻塞部位,并对两组结果进行比较。结果:98例患者在清醒状态下经电子喉镜定位诊断,存在多部位阻塞者占58.2%(57/98);而在诱导睡眠后存在多部位阻塞者占77.5%(76/98),两组差异有统计学意义(P〈0.01)。结论:大部分的OSAHS患者上呼吸道存在多部位阻塞;在诱导睡眠状态下,阻塞部位要比清醒状态时多。

关 键 词:电子喉镜  咪唑安定  睡眠呼吸暂停低通气综合征  阻塞性  上呼吸道  气道梗阻

Compare the value of video laryngoscope in localization diagnosis of upper airway stricture in obstructive sleep apnea-hypopnea syndrome between awake and drug-induced sleep
JIANG Taogen,CHAO Jiewei,CAO Jian,WANG Yongtian,SHI Lihua.Compare the value of video laryngoscope in localization diagnosis of upper airway stricture in obstructive sleep apnea-hypopnea syndrome between awake and drug-induced sleep[J].Journal of Clinical Otorhinolaryngology,2009,23(9):397-399.
Authors:JIANG Taogen  CHAO Jiewei  CAO Jian  WANG Yongtian  SHI Lihua
Institution:1Department of Otolaryngology;Shanghai Shidong Hospital;Shanghai;200438;China;2Department of Anesthesiology;Shanghai Shidong Hospital
Abstract:Objective:To compare the value of video laryngoscope in localization diagnosis of upper airway stricture in obstructive sleep apnea-hypopnea syndrome(OSAHS) between awake and drug-induced sleep.Method:Ninty-eight patients of OSAHS were examined with video laryngoscope to locate the upper airway stricture under awake and Midazolam-induced sleep.Result:The several stricture levels under awake was 58.2% and it was 77.5% under drug induced sleep.Conclusion:Several stricture levels of upper airway were founded i...
Keywords:video laryngoscope  midazolam  sleep apnea-hypopnea syndrome  obstructive  upper airway  obstruction of airway  
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