Effect of minimally invasive surgery on the sleep quality and work ability of patients with obstructive sleep apnea-hypo
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SLEEP BREATHING PHYSIOLOGY AND DISORDERS • ORIGINAL ARTICLE
Effect of minimally invasive surgery on the sleep quality and work ability of patients with obstructive sleep apnea-hypopnea syndrome Xiao-Qing Zhang 1 & Li-Jun Liu 1 & Xiao-Ying Li 1 & Xiao-Qin Li 1 & Li-Qiong Jiang 1 & Ping Zeng 1 & Qin Zhang 1 Received: 26 July 2020 / Revised: 12 October 2020 / Accepted: 14 October 2020 # Springer Nature Switzerland AG 2020
Abstract Objective To explore the effect of minimally invasive surgical treatment on the sleep quality and work ability of patients with obstructive sleep apnea-hypopnea syndrome (OSAHS). Methods Fifty-one patients who underwent minimally invasive surgery in the Sleep Respiratory Disease Diagnostic and Treatment Center of the West China Fourth Hospital of Sichuan University from January 2017 to January 2019 were selected as study subjects. All subjects completed polysomnography monitoring (PSG), an Epworth sleepiness scale (ESS), and a work ability index (WAI) before and 1 year after the minimally invasive surgery so that the changes could be compared. Results (1) The apnea-hypopnea index (AHI), microarousal index (MAI), ESS, longest duration of apnea, and longest duration of hypoventilation in OSAHS patients decreased, while the lowest blood oxygen saturation (LsaO2) increased after minimally invasive surgery. The differences were statistically significant (p < 0.05). (2) The WAI questionnaire score increased from (37.76 ± 4.46) to (40.00 ± 4.53) after minimally invasive surgery (P < 0.05). (3) The change in the WAI questionnaire score after minimally invasive surgery was influenced by the occupational category and the change in ESS. Conclusion Minimally invasive surgical treatment shows significant benefit in improving the sleep quality and working ability of patients with OSAHS. Keywords Obstructive sleep apnea-hypopnea syndrome . Minimally invasive surgery . Sleep quality . Work ability
What is already known about the topic? 1. The main methods for treating OSAHS include continuous positive airway pressure (CPAP), oral appliances, and surgical treatment. Due to individual differences, compliance, and cost of treatment, surgery remains an important treatment option for patients. 2. Relieving OSAHS and OSAHS-induced decline in sleep quality and work ability have important clinical significance and social value. What this paper adds? 1. Minimally invasive surgical treatment shows significant benefit in improving the sleep quality and working ability of OSAHS patients. 2. The apnea-hypopnea index (AHI), microarousal index (MAI), ESS, longest duration of apnea, and longest duration of hypoventilation in OSAHS patients decreased, while the lowest blood oxygen saturation (LsaO2) increased after minimally invasive surgery. 3. The change in the WAI questionnaire score after minimally invasive surgery was influenced by the occupational category and the change in ESS. * Qin Zhang [email protected] 1
Department of Occupational Health and Sleep Medicine Center, West China School of Public Health and West C
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