摘要
目的 探讨半封闭声道训练在增强口咽面肌训练对成人轻中度阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的治疗效果中的作用。方法 选取2023年1月1日至2024年6月30 日期间于本院耳鼻喉门诊就诊的58例成人轻中度OSAHS患者，随机分为对照组和实验组，每组各29例。对照组患者仅接受口咽面肌训练，实验组患者接受口咽面肌训练联合半封闭声道训练。在训练干预前及训练干预后第90天，通过多导睡眠监测、睡眠质量及生活质量评分评估训练干预的疗效。结果 对照组与实验组患者在训练后的主要检测指标均获得显著改善。实验组因加入半封闭声道训练，对口咽面肌训练的依从性明显提高。与对照组相比，实验组在睡眠监测参数、睡眠质量及生活质量评分上均展现出更优的治疗效果。结论 半封闭声道训练可显著增强口咽面肌训练治疗成人轻中度OSAHS的治疗效果。
关键词： 半封闭声道训练；阻塞性睡眠呼吸暂停低通气综合征；口咽面肌训练
Abstract
Objective To investigate the efficacy of semi-occluded vocal tract training in enhancing oropharyngeal facial muscle training in the treatment of adult mild-to-moderate obstructive sleep apnea hypopnea syndrome (OSAHS). Methods A total of 58 adult patients with mild-to-moderate OSAHS who visited the otolaryngology outpatient clinic of our hospital from January 1, 2023, to June 30, 2024, were randomly divided into a control group and an experimental group, with 29 patients in each group. The control group received only oropharyngeal facial muscle training, while the experimental group received additional semi-occluded vocal tract training. Both groups were assessed through polysomnography, sleep quality scores, and quality of life scores before and 90 days after the training intervention to evaluate the therapeutic effect. Results Significant improvements were observed in the main outcome measures for both groups after training. The experimental group showed increased adherence to oropharyngeal facial muscle training due to the addition of semi-occluded vocal tract training. Compared with the control group, the experimental group exhibited better therapeutic effects in terms of polysomnography parameters, sleep quality scores, and quality of life scores. Conclusion s Semi-closed vocal training can effectively enhance the therapeutic effect of oropharyngeal facial muscle training on adult patients with mild-to-moderate OSAHS.
Key words： Semi-occluded vocal tract training; Obstructive sleep apnea hypopnea syndrome; Oropharyngeal facial muscle training
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