质子泵抑制剂在阻塞性睡眠呼吸暂停低通气综合征伴咽喉反流者中的应用
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张镭,Email:radiumzhang2001@yahoo.com.cn.

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Application of proton pump inhibitor to patients withobstructive sleep apnea hypopnea syndromeaccompanied by laryngopharyngeal reflux
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    目的 观察质子泵抑制剂(proton pump inhibitor, PPI)对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)伴喉咽反流(laryngopharyngeal reflux, LPR)患者的疗效,探讨PPI对伴LPR的OSAHS患者的应用价值。方法 2008年10月~2011年3月经临床及睡眠呼吸监测(PSG)确诊为OSAHS并伴有LPR患者26例,所有患者自愿接受PPI口服泮托拉唑钠肠溶胶囊20 mg, 2次/d,治疗并坚持完成3个月疗程。3个月后复查PSG,通过呼吸暂停低通气指数(AHI)评估疗效,并将结果进行统计学分析。结果 26例患者治疗前AHI(50.52±19.61)次/h,治疗后(29.47±14.15)次/h,降幅为(36.23±12.32)%,治疗前后AHI比较采用配对t检验,其差异具有统计学意义(t=2.543,P=0.02)。LPR的临床症状及内镜检查喉咽部黏膜炎症体征均有不同程度改善。结论 喉咽反流存在可能对OSAHS有直接影响,PPI对伴有喉咽反流的OSAHS具有较好疗效,且具有一定的临床应用价值。

    Abstract:

    Objective To observe the clinical effect of the proton pump inhibitor (PPI) on patients with obstructive sleep apnea hypopnea syndrome (OSAHS) accompanied by laryngopharyngeal reflux (LPR). Methods From October 2008 to March 2011, 26 patients diagnosed having OSAHS accompanied by LPR with polysomnography (PSG) were given Pantoprazole sodium entericcoated capsules orally 20 mg twice per day for 3 months. PSG was then rechecked and the apneahypopnea index (AHI) was obtained to evaluate the therapeutic effect. Results The average AHI values before and after treatment were 50.52±19.61 and 29.47±14.15 respectively, with a decline up to (36.23±12.32)%. The difference of AHI before and after treatment was statistically significant (t=2.543, P=0.02). Their symptoms and inflammatory signs of LPR got improved. Conclusion LPR may have some direct correlation with OSAHS. Oral administration of PPI has positive effect on OSAHS accompanied by LPR.

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柴小花 张宁 许艳芳 段广廷 张镭.质子泵抑制剂在阻塞性睡眠呼吸暂停低通气综合征伴咽喉反流者中的应用[J].中国耳鼻咽喉颅底外科杂志,2012,18(3):179-182

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  • 在线发布日期: 2012-06-30
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