本文關(guān)鍵詞： 上氣道 睡眠呼吸暫停低通氣綜合征 阻塞性 高血壓 手術(shù)　出處：《臨床耳鼻咽喉頭頸外科雜志》2014年15期 　論文類型：期刊論文

【摘要】：目的:探討伴有高血壓的上氣道阻塞性疾病患者行上氣道擴(kuò)容術(shù)后血壓變化情況及可能的機制。方法:采用上氣道擴(kuò)容術(shù)對45例伴有高血壓且主訴鼻阻塞患者進(jìn)行治療,并記錄晨起坐位血壓。所有患者均實施鼻腔擴(kuò)容術(shù),其中11例伴咽腔狹窄的阻塞性睡眠呼吸暫停低通氣綜合征患者聯(lián)合實施改良的懸雍垂腭咽成形術(shù)(HUPPP)。結(jié)果:45例高血壓患者術(shù)后血壓均有所下降,收縮壓由(157.38±15.15)mmHg下降為(132.18±8.43)mmHg,舒張壓由(95.42±9.28)mmHg下降為(82.31±5.88)mmHg。收縮壓及舒張壓手術(shù)前后差異有統(tǒng)計學(xué)意義(P0.01)。9例Ⅰ型高血壓患者血壓完全恢復(fù)正常。結(jié)論:對伴鼻阻塞的高血壓患者,改善上氣道(包括鼻腔、咽腔)通氣有助于降低血壓值,術(shù)后血壓更平穩(wěn),比單純行HUPPP降壓效果更好。
[Abstract]:Objective: to investigate the changes of blood pressure and possible mechanism after upper airway dilatation in patients with hypertension. Methods: 45 patients with hypertension and nasal obstruction were treated with upper airway dilatation. The blood pressure in the sitting position was recorded in the morning. All the patients underwent nasal cavity dilatation. Among them, 11 patients with obstructive sleep apnea hypopnea syndrome with pharyngeal stenosis were treated with modified uvulopalatopharyngoplasty. Systolic blood pressure decreased from 157.38 鹵15.15mmHg to 132.18 鹵8.43mmHg, diastolic blood pressure decreased from 95.42 鹵9.28mm Hg to 82.31 鹵5.88mmHg.There were significant differences in systolic blood pressure and diastolic blood pressure before and after operation in patients with type 鈪，

本文編號：1547487