頁籤選單縮合
題 名 | 單一階段雷射手術治療打鼾之評估=Evaluation of Single-Stage Laser Surgery for Snoring |
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作 者 | 林義哲; 許立斌; 郝治華; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷 期 | 33:6 1998.12[民87.12] |
頁 次 | 頁17-24 |
分類號 | 416.87 |
關鍵詞 | 懸雍垂侸咽成型術; 雷射輔助懸雍垂侸咽成型術; Uvulo-palatopharyngoplasty; Laser-assisted uvulopalatoplasty; LAUP; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:習慣性打鼾明白地說明醫學與社會兩者的含義,因其經常出現阻塞性睡眠窒息與造成同床夥伴睡眠障礙。事實上,若對打鼾者施行手術使其恢復至正常,則可同時改善家庭成員的睡眠品質。此項研究,是要瞭解本科所使用的單一階段雷射輔助懸雍垂□咽成型術(single-stage LAUP)手術前後自覺與他覺改善的情形與一階段或原來的(one-stage or original)LAUP比較並作為手術療效評估。 方法:自1995年9月1日至1997年8月31日止為期二年,收集曾在本科施行單一階段LAUP手術的病人為研究對象。訪問對象包括病人本人及住在一起的人,設計結構式問卷並使用電話訪問方式完成追蹤問卷填寫。此項研究,是屬於迴溯性研究。統計分析,採用敘述性統計描述打鼾改善百分比分布及卡方檢定分析打鼾改善程度之相關性。 結果:收集有效樣本為37人。其中,男性佔24人(64.9%)及女性佔13人(35.1%)。最小為19歲與最大為74歲,平均年齡為40.3±12.6歲。研究結果顯示:手術後打鼾前後睡時打鼾情形(x2=34.48; p<0.001),自覺術前後睡眠品質x□=12.94; p<0.01)及他覺手術前後睡眠時打鼾情形(x□=21.09; p<0.001)皆有意義的改善。 結論:基於上述結果,打鼾病人接受單一階段LAUP手術後有顯著改善。並經由統計分析發現,手術後自覺與他覺症狀的改善均較手術前有其正向的顯著相關。此項研究與Kamami與Dickson等的一階段LAUP比較,吾人發現單一階段LAUP對於打鼾改善率及睡眠品質改善與一階段或原來LAUP一致且不必二階段LAUP。若其BMI稍大,單一階段LAUP手術前建議減輕體重。為減少或消除打鼾,進一步研究單一階段LAUP需要追蹤長期結果。 |
英文摘要 | Background: Habitual snoring spells both medical and social implications since it often signals the presence of obstructive sleep apnea and disrupts a bed partner's sleep. This study is to compare the improvement of preoperation and pot-operation of our patients who received single-stage LAUP at our department with previous one-stage or original LAUP. Methods: We collected the patients who received the single-stage LAUP at our department from September 1, 1995 to August 31, 1997. The objectives included the patients themselves and the people who lived together with them. The questionnaires were fulfilled by phone call visit. This is a retrospective study. The descriptive statistic and Chisquare test were used for comparison of difference and relationship. Results:Thirty-seven patients were included in our study. There were 24(64.9%) males and 13(35.1%) female. The range of age was 19 to 74. The average age was 40.3±2.6. The improvement rate of snoring was 89.2%, and this group had the average BMI 25.7 kg/m□. Subjectively, patients had more statistical significant improvement for both snoring and sleep quality after operation than before. Those living together with patients were also observed the same results. Conclusions: According to the above results, the patients who received the single-stage LAUP had significant improvement. We concluded that the patients who received sing-stage LAUP had been more significantly improved both subjectively and objectively than previous one-stage LAUP. If their BMI was larger, weight reduction was at first recommended before single-stage LAUP. Further studies will be needed to follow-up the long-term outcomes of single-stage LAUP in mitigating or arresting snoring. |
本系統中英文摘要資訊取自各篇刊載內容。