本文選題：阻塞性睡眠呼吸暫停低通氣綜合征　切入點：上氣道多平面擴容術(shù)　出處：《武漢大學學報(醫(yī)學版)》2014年02期

【摘要】：目的:探討阻塞性睡眠呼吸暫停低通氣綜合征(OSAHS)患者上氣道多平面擴容術(shù)前后嗓音質(zhì)量主觀聽覺評估的變化。方法:對26例OSAHS患者于上氣道多平面手術(shù)前后進行嗓音相關(guān)因素主觀心理聽覺評估的問卷調(diào)查。結(jié)果:主觀調(diào)查問卷結(jié)果顯示,26例患者上氣道多平面擴容術(shù)后4例(15.38%)出現(xiàn)短時間的輕度腭咽閉合功能不全所致的鼻腔返流現(xiàn)象,均于術(shù)后1周內(nèi)消失;3例(11.54%)術(shù)后發(fā)聲有輕度鼻音增高尤以術(shù)后1周內(nèi)較明顯而后逐漸消失;2例(7.69%)扁桃體Ⅲ度肥大者訴聲音有所改變,如原有輕微含糖音消失,發(fā)聲清晰度較前提高。總體評估是嗓音障礙指數(shù)(VHI)量表、嗓音相關(guān)生活質(zhì)量(V-RQOL)量表各總得分于手術(shù)前后均無明顯變化(均P0.05),但二者手術(shù)前后均有明顯的相關(guān)性,VHI總得分值與AHI無明顯相關(guān)性。結(jié)論:上氣道多平面擴容術(shù)能夠解除OSAHS患者上氣道的阻塞性因素,同時進行鼻腔和咽腔的塑形,在一定程度上改變了聲道共鳴腔,但OSAHS患者嗓音的主觀心理聽覺評估無明顯變化。
[Abstract]:Objective: to investigate the changes of subjective auditory assessment of voice quality in patients with obstructive sleep apnea hypopnea syndrome (OSAHS) before and after multiplanar dilatation of upper airway.Methods: 26 patients with OSAHS were assessed with subjective psychological and auditory factors before and after multiplanar upper airway surgery.Results: the results of subjective questionnaire showed that the nasal regurgitation caused by mild palatopharynx insufficiency occurred in 4 cases after multiplanar expansion of upper airway in 26 cases, and the nasal cavity regurgitation was caused by mild palatopharynx insufficiency in a short period of time.In all cases, 3 cases disappeared within 1 week after operation.) there was a slight increase in nasal sound after operation, especially in 2 cases with progressive disappearance of tonsil within 1 week after operation.) the tonsil 鈪，

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