鼻腔扩容术对慢性鼻-鼻窦炎伴睡眠呼吸暂停

doi:10.6040/j.issn.1673-3770.0.2017.423

摘要/Abstract

摘要： 目的探讨鼻腔扩容术对慢性鼻-鼻窦炎伴睡眠呼吸暂停低通气综合征(OSAHS)成年患者睡眠质量的影响。方法选取80例慢性鼻-鼻窦炎伴睡眠呼吸暂停低通气综合征(OSAHS)成年患者,治疗之前对所有患者进行鼻阻力测量鼻功能检查、耳鼻喉专科查体以及多导睡眠监测,并填写Epworth嗜睡量表(ESS)以及鼻腔鼻窦结局测量-20(SNOT-20)量表。术后随访,第3个月时对所有患者复查以上指标。结果术前与术后3个月相比,所有患者SNOT-20量表总分明显降低(P<0.05);ESS值明显降低(P<0.05);鼻腔总阻力明显下降(P<0.05)。结论 SNOT-20量表与多导睡眠联合监测对鼻腔扩容术的疗效评价更为准确,应用鼻腔扩容术可以显著改善慢性鼻-鼻窦炎伴睡眠呼吸暂停低通气综合征成年患者睡眠质量。

关键词: 慢性鼻-鼻窦炎, 阻塞性, SNOT-20量表, 鼻腔扩容术, 睡眠呼吸暂停

Abstract: Objective To investigate the effect of nasal cavity expansion on the sleep quality of adult patients with chronic rhinosinusitis and sleep apnea-hypopnea syndrome. Methods Eighty patients with chronic rhinosinusitis and sleep apnea-hypopnea syndrome were enrolled in this study. Nasal resistance tests, nasopharyngeal and laryngological examination, and polysomnography, as well as Epworth sleepiness scale(ESS)and Nasal Sinus Outcome Measures-20 Scale(SNOT-20)assessments, were performed on all patients before treatment. At the 3-month postoperative follow-up, all patients were again assessed using the aforementioned indicators. Results After 3 months, SNOT-20 scale score decreased in all patients (P<0.05), compared with the preoperative score; ESS and total nasal resistance also significantly decreased(P<0.05 for both). Conclusion SNOT-20 Scale and polysomnography measurements accurately evaluate the efficacy of the nasal cavity expansion joint monitoring technique; application of the nasal expansion technique can significantly improve sleep quality in adult patients with chronic rhinosinusitis and sleep apnea-hypopnea syndrome.

Key words: Sleep apnea, obstructive, Nasal cavity expansion, Chronic rhinosinusitis, SNOT-20

中图分类号:

R766.7

龚齐,张劼,赵屏屏. 鼻腔扩容术对慢性鼻-鼻窦炎伴睡眠呼吸暂停[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 52-55.

GONG Qi, ZHANG Jie, ZHAO Pingping. Effect of nasal dilation on quality of sleep in adult patients with chronic rhinosinusitis and[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 52-55.

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