鼻气道狭窄对阻塞性睡眠呼吸暂停低通气综合征的影响被引量：3

Effect of Narrow Nasal Cavity on the Obstructive Sleep Apnea Hypopnea Syndrome

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摘要目的探讨手术治疗鼻气道狭窄对阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)患者的疗效。方法 2008年2月-2010年2月,对300例OSAHS患者行鼻内镜鼻腔手术治疗,比较患者手术前后打鼾程度、嗜睡程度和鼾声评分。结果手术治疗鼻气道狭窄后患者嗜睡评分及鼾声评分平均值均小于术前,差异有统计学意义(P<0.05),手术有效率88.67%,手术并发症发生率0.67%,为鼻中隔穿孔、鼻腔粘连。结论手术治疗鼻气道狭窄是治疗因鼻气道狭窄所致OSAHS的一种有效方法。 Objective To explore the therapeutic effect of the surgery of narrow nasal cavity on the obstructive sleep apnea hypopnea syndrome（OSAHS）.Methods A total of 300patients with OSAHS from February 2008to February 2010underwent the surgery of narrow nasal cavity and the pre-and post-operative Epworth sleepiness scale and snore scale were analyzed.Results After the surgery of narrow nasal cavity,snore degree,somnolence scale and snore scale decreased compared with those before the operation（P〈0.05）.The effective rate of the surgery was 88.67%and the rate of operative complication was 0.67%.Conclusion The surgery of narrow nasal cavity is effective for the patients with OSAHS caused by narrow nasal cauity.

作者詹良琴杨星陈敏李和王庆谢艳刘小琴

机构地区中国第五冶金建设公司医院

出处《华西医学》 CAS 2010年第10期1813-1814,共2页 West China Medical Journal

关键词阻塞性睡眠呼吸暂停低通气综合征鼻气道狭窄 Obstructive sleep apnea hypopnea syndrome Nasal cavity Narrow

分类号 R766 [医药卫生—耳鼻咽喉科]

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1王立曼,周光耀,李春华,雷飞,薛倩.阻塞性睡眠呼吸暂停低通气综合征危险因素探讨[J].华西医学,2009,24(1):46-49. 被引量：10
2Duran J, Esnaola S, Rubio R, et al. Obst ructive sleep apnea hypopnea and related clinical features in a population based sample of subjects aged 30 to 70 yr[J]. Am J Respir Crit Care Med, 2001, 163(3): 685-689.
3阻塞性睡眠呼吸暂停低通气综合征诊断依据和疗效评定标准暨悬雍垂腭咽成形术适应证(杭州)[J].中华耳鼻咽喉科杂志,2002,37(6):403-404. 被引量：1090
4De Vito A, Berreltini S, Carabelli A, et al. The importance of nasal resistance in obstructive sleep apnea syndrome: a study with position rhinomanometry[J]. Sleep Breath, 2001, 5 (1) : 3-11.
5钟刚,孔维佳,乐建新,檀慧芳.阻塞性睡眠呼吸暂停综合征与不同体位下鼻阻力的关系[J].临床耳鼻咽喉科杂志,2003,17(6):351-353. 被引量：26
6Soichiro M, Yoshiaki I, Kazuo I, et al. Influence of nasal obstructive sleep apnea [J]. Acta Otolaryngol, 1998, 537 (Suppl) : 43-46.

二级参考文献11

1Duran J ,Esnaola S,Rubio R,et al. Obstructive sleep apnea-hypopnea and related clinical features in a population-based sample of subjects aged 30 to 70 yr[J]. Am J Respir Crit Care Med,2001,163(3 Pt 1): 685-689.
2Redline S, Kump K, Tishler PV, et al. Gender differences in sleep disordered breathing in a community-based sample[J].Am J Respir Crit Care Med,1994,149(3 Pt 1):722-726
3Popovic RM, White DP. Influence of gender on waking genioglossal electromyogram and upper airway resistance[J].Am J Respir Crit Care Med, 1995,152(2) : 725-731.
4Popovic RM, White DP. Upper airway muscle activity in normal women:influence of hormonal status[J].J Appl Physiol, 1998, 84 (3):1055-1062.
5Wetter DW, Young TB, Bidwell TR, et al. Smoking as a risk factor for sleep disordered breathing[J].Arch Intern Med, 1994,154(19) : 2219-2224.
6Ancoli Israel S,Kripke DF,Mason W,et al. Sleep apnea and periodic movements in an aging sample[J]. J Gerontol,1985,40(4):419-425.
7Ancoli-Israel S, Kripke DF, Klauber MR, et al. Sleep-disordered breathing in community dwelling elderly [J]. Sleep, 1991, 14 ( 6 ) : 486-495.
8Bixler EO, Vgontzas AN, Ten Have T, et al. Effects of age on sleep apnea in men: Ⅰ: Prevalence and severity[J]. Am J Respir Crit Care Med, 1998,157(1) : 144-148.
9Sforza E, Bacon W, Weiss T,et al. Upper airway collapsibility and eephalometric variables in patients with obstructive sleep apnea[J]. Am J Respir Crit Care Med,2000,161(2 Pt 1) :347-352.
10Vgontzas AN, Papanicolaou DA, Bixler EO,et al. Sleep apnea and daytime sleepiness and fatigue: relation to visceral obesity, insulin resistance,and hypercytokinemia[J]. Am J Respir Crit Care Med, 2000,85(3) :1151-1158.