ABSTRACT
OBJECTIVE@#To explore the impact of upper airway expansion surgery on the blood pressure of hypertension patients with upper airway obstruction.@*METHOD@#Clinical data of 45 cases of hypertension patients with nasal obstruction who were underwent upper airway expansion surgery. The morning sitting blood pressure of patients were recorded. All of the patients were underwent nasal expansion surgery and 11 cases with obstructive sleep apnea hypopnea syndrome were combined with H-uvulopalatopharyngoplasty.@*RESULT@#Blood pressure of all 45 cases were apparently reduced in 12 months after the operations [systolic blood pressure (157.38 +/- 15.15) mmHg to (132.18 +/- 8.43) mmHg, diastolic blood pressure (95.42 +/- 9.28) mmHg to (82.31 +/- 5.88)mmHg], in which 9 cases with type I hypertension were lowered to normal pressure. Results had statistical difference between pre-operation and post-operation (P < 0.01).@*CONCLUSION@#Upper airway expansion surgery (including nasal and pharynx cav ity) can help lower blood pressure of hypertensive patients with nasal obstruction. Post-operative results were better than H-uvulopalatopharyngoplasty only.
Subject(s)
Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Blood Pressure , Physiology , Hypertension , Otorhinolaryngologic Surgical Procedures , Sleep Apnea, Obstructive , General SurgeryABSTRACT
@#22 patients with acute myocardial infarction (AMI) under went early exercise testing (EET)(mean 12.50±4.39 days after MI) in our study. The positive rate of testing was 45.45%. The maximal ratepressure product (SBP×HR) and peak metabolic equivalent were 2782±776 bpm.kPa and 4.96 ±1.20METs. Following up 3 months to 2.5 years (1.33±0.84 years), we found that the occurrence of heart events in the positive EET group (EET-P) was more than in the negative EET group (EET-N) (X2=4.77, P<0.05).Time of return to work and housework in EET-P was earlier than EET-N. About time and ratio of return to work and housework, the EET group was higher and earlier than no EET(N-EET) group. On the other hand,sexual activity of EET was recovered to a certain degree and ma jority could do some physical training- The results would be showed that EET could improve the quality of life in the patients with AMI.