咽肌组织和颏舌肌运动对悬雍垂腭咽成形术后阻塞性睡眠呼吸暂停低通气综合征的影响
Effect of pharyngeal musculature and genioglossus exercising on obstructive sleep apnea-hypopnea syndrome following uvulopalatopharyngoplasty.
摘要(中文译文)
本研究旨在评估咽部肌肉与颏舌肌锻炼作为阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患者行悬雍垂腭咽成形术（UPPP）术后康复干预措施的有效性——该领域此前证据有限。本研究为一项在杭州市临平区第一人民医院开展的回顾性队列研究。研究纳入2022年10月至2024年10月期间接受UPPP的120例OSAHS患者。将接受咽部及颏舌肌锻炼的60例患者与未接受任何锻炼的队列按1:1比例进行匹配。主要结局为术后6个月的临床疗效。次要结局为呼吸暂停低通气指数（AHI）、睡眠最低血氧饱和度（LSaO2）、匹兹堡睡眠质量指数（PSQI）及世界卫生组织生活质量工具（WHOQOL-BREF）评分的变化。术后6个月，锻炼组的临床有效率显著高于非锻炼组（< 0.05）。术前，两组间AHI、LSaO2、PSQI及WHOQOL-BREF评分均无显著差异（均 > 0.05）。术后6个月，两组的AHI、LSaO2、PSQI及WHOQOL-BREF评分均显著改善，且锻炼组的AHI、LSaO2、PSQI、生理及心理领域评分均优于非锻炼组（均 < 0.05）；然而，两组间环境领域及社会领域评分均无显著差异（均 > 0.05）。咽部肌肉与颏舌肌锻炼可改善接受UPPP患者的术后结局及生活质量，可考虑作为临床实践中一种有前景的康复策略。
Abstract
This study aimed to evaluate the effectiveness of pharyngeal musculature and genioglossus exercising as a postoperative rehabilitation intervention for patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) following uvulopalatopharyngoplasty (UPPP)-a setting with limited prior evidence. This is a retrospective cohort study conducted in the first people's Hospital of Linping District, Hangzhou. They included 120 patients of OSAHS who received UPPP between October 2022 and October 2024. Sixty patients who received pharyngeal and genioglossal muscle exercises were matched with the cohort who did not receive any exercise in a 1:1 ratio. The main outcome was the clinical efficacy 6 months after operation. The secondary outcomes were the changes of apnea hypopnea index (AHI), lowest oxygen saturation during sleep (LSaO2), Pittsburgh sleep quality index (PSQI), and the World Health Organisation Quality of Life tool (WHOQOL-BREF) score. Six months after operation, the clinical effective rate of the exercise group was significantly higher than that of the non-exercise group ( < 0.05). Before operation, there was no significant difference in AHI, LSaO2, PSQI and WHOQOL-BREF scores between the two groups (all > 0.05). Six months after operation, the AHI,LSaO2, PSQI and WHOQOL-BREF scores of the two groups were significantly improved, and the AHI, LSaO2, PSQI, physical and psychological scores of the exercise group were better than those of the non-exercise group (all < 0.05); However, there was no significant difference in the scores of environment and social domains between the two groups (all > 0.05). Pharyngeal musculature and genioglossus exercising may improve postoperative outcomes and quality of life in patients undergoing UPPP, and could be considered a promising rehabilitation strategy in clinical practice.
如何引用
AMA
Pingping Zhang, Tongfei Qu, Xiaona Zhang, Runze Zhu. Effect of pharyngeal musculature and genioglossus exercising on obstructive sleep apnea-hypopnea syndrome following uvulopalatopharyngoplasty.. Frontiers in psychiatry. 2026; doi:10.3389/fpsyt.2026.1786737.
APA
Pingping Zhang, Tongfei Qu, Xiaona Zhang, Runze Zhu (2026). Effect of pharyngeal musculature and genioglossus exercising on obstructive sleep apnea-hypopnea syndrome following uvulopalatopharyngoplasty.. Frontiers in psychiatry. https://doi.org/10.3389/fpsyt.2026.1786737
GB/T 7714
Pingping Zhang, Tongfei Qu, Xiaona Zhang, Runze Zhu. Effect of pharyngeal musculature and genioglossus exercising on obstructive sleep apnea-hypopnea syndrome following uvulopalatopharyngoplasty.[J]. Frontiers in psychiatry, 2026 doi:10.3389/fpsyt.2026.1786737.
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