목젖 입천장 인두 절제술 전 후의 수면다원검사의 결과
Polysomnographic Results before and after Uvulopalatopharyngoplasty
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Uvulopalatopharyngoplasty (UPPP) is one possibility for the treatment of Obstructive Sleep Apnea (OSA). The aim of this study was study the analysis of polysomnography of pre-UPPP and post-UPPP. All patients were evaluated by means of a physical examination, the epworth sleepiness scale (ESS), the beck depression inventory (BDI) and the nocturnal polysomnography (PSG) before surgery, and 6∼12 months after surgery. A total of 15 patients were investigated. All underwent UPPP. The patients were between 26 and 62 years old (mean±SD; 39.7±10.9) with a lean body mass index (BMI) of mean±SD; 26.2±3.0 kg/m2. The comparison of sleep questionnaires showed that after UPPP, the patients had a significantly lower BMI (26.2±3.0 kg/m2 vs 26.0±3.4 kg/m2, p =0.241), ESS (10.0±5.4 vs 6.9±3.2, p =0.022), BDI (9.2±8.2 vs 4.2±4.3, p =0.343) and higher blood pressure (127.5±12.1 vs 123.7±12.0, p =0.272) compared to before UPPP. The comparison of sleep parameters showed that after UPPP, patients had a significantly lower stage N1 (108.8±53.1 vs 82.2±48.9, p =0.016), lower sleep latency (4.9±4.4 vs 2.0±1.7, p =0.083), a lower total arousal number (210.6±90.3 vs 147.1±87.3, p =0.019), lower oxygen desaturation index (ODI) (30.2±20.9 vs 10.2±15.1, p =0.006), lower apnea-hypopnea index (AHI) (31.6±22.4 vs 10.9±15.4, p =0.005), and a lower respiratory disturbance index (RDI) (37.4±21.3 vs 18.5±16.5, p =0.008) compared to after UPPP. The comparison of sleep parameters showed that after UPPP, patients had a significantly higher stage N2 (154.0±39.9 vs 180.5±49.5, p =0.017), higher REM (58.5±29.7 vs 72.6±34.0, p =0.249), higher meanSaO2 (94.3±2.0 vs 95.9±0.9, p =0.043), and higher minSaO2 (79.3±8.5 vs 83.1±7.9, p =0.116) than before UPPP. After UPPP, 6 patients were cured, 2 showed marked improvement, and 7 did not improve. After surgery, the success of the treatment was at 53%. The subjective patient satisfaction was higher than before the surgery.
Abstract
Uvulopalatopharyngoplasty (UPPP) is one possibility for the treatment of Obstructive Sleep Apnea (OSA). The aim of this study was study the analysis of polysomnography of pre-UPPP and post-UPPP. All patients were evaluated by means of a physical examination, the epworth sleepiness scale (ESS), the beck depression inventory (BDI) and the nocturnal polysomnography (PSG) before surgery, and 6∼12 months after surgery. A total of 15 patients were investigated. All underwent UPPP. The patients were between 26 and 62 years old (mean±SD; 39.7±10.9) with a lean body mass index (BMI) of mean±SD; 26.2±3.0 kg/m2. The comparison of sleep questionnaires showed that after UPPP, the patients had a significantly lower BMI (26.2±3.0 kg/m2 vs 26.0±3.4 kg/m2, p =0.241), ESS (10.0±5.4 vs 6.9±3.2, p =0.022), BDI (9.2±8.2 vs 4.2±4.3, p =0.343) and higher blood pressure (127.5±12.1 vs 123.7±12.0, p =0.272) compared to before UPPP. The comparison of sleep parameters showed that after UPPP, patients had a significantly lower stage N1 (108.8±53.1 vs 82.2±48.9, p =0.016), lower sleep latency (4.9±4.4 vs 2.0±1.7, p =0.083), a lower total arousal number (210.6±90.3 vs 147.1±87.3, p =0.019), lower oxygen desaturation index (ODI) (30.2±20.9 vs 10.2±15.1, p =0.006), lower apnea-hypopnea index (AHI) (31.6±22.4 vs 10.9±15.4, p =0.005), and a lower respiratory disturbance index (RDI) (37.4±21.3 vs 18.5±16.5, p =0.008) compared to after UPPP. The comparison of sleep parameters showed that after UPPP, patients had a significantly higher stage N2 (154.0±39.9 vs 180.5±49.5, p =0.017), higher REM (58.5±29.7 vs 72.6±34.0, p =0.249), higher meanSaO2 (94.3±2.0 vs 95.9±0.9, p =0.043), and higher minSaO2 (79.3±8.5 vs 83.1±7.9, p =0.116) than before UPPP. After UPPP, 6 patients were cured, 2 showed marked improvement, and 7 did not improve. After surgery, the success of the treatment was at 53%. The subjective patient satisfaction was higher than before the surgery.
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