Treatment for obstructive sleep apnea hypopnea syndrome in obesity

Objective To investigate the treatment and therapeutic effect of obstructive sleep apnea hypopnea syndrome(OSAHS)in patients with obesity.Methods The diagnosis of OSAHS was confirmed with polysomnography(PSG),body mass index(BMI),Epworth sleep score(ESS),and symptoms in 76 obese patients.Patients were divided into three groups.Modified uvulopalatopharyngoplasty(UPPP)was performed to group A(43 cases),nasal cavity aerated and volume extension(NCAVE)combined with continuous positive airway pressure(CPAP)was performed to group B(25 cases),and percutaneous dilational tracheostomy(PDT)combined with NCAVE and UPPP was performed to group C(8 cases).All cases were followed up more than one year.Results The cure rates were 81.4%,88% and 87.5% in group A,B and C,respectively.Conclusion Choosing of the optimum treatment is crucial in obese patients with OSAHS.Proper surgical method combined with the integrated treatment should be selected regarding the general condition and obstructive site of each patient.