鼻阻塞对阻塞性睡眠呼吸暂停低通气综合征的影响研究

Effect of nasal obstruction on OSAHS

目的分析研究鼻阻塞对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的影响。方法回顾性分析该院在2011年12月—2012年12月期间收治的118例OSAHS患者的临床资料,其中59例伴有鼻阻塞为实验组,59例无鼻阻塞为对照组,对比分析两组的舌位评分的分布、AHI检查情况及鼻声反射的测试情况。结果两组患者的舌位评分和睡眠呼吸暂停低通气指数(AHI)为正相关性(r=0.301,P<0.01)。且实验组Ⅲ及Ⅳ型相对危险度显著高于对照组,同时鼻声反射的测试值显著低于对照组,差异具有统计学意义(P<0.05或P<0.01)。结论对于舌位评分为Ⅲ及Ⅳ型的OSAHS患者来说,鼻阻塞可增加AHI值及相对危险度,在临床中需要严格重视。

Objectlve To study the effect of nasal obstruction on OSAHS. Methods Retrospective analysis was made of the clinical data of 118 patients with OSAHS during December 2011 and December 2012,59 cases with nasal obstruction for the experimental group ,59 patients without nasal obstruction for the control group. We compared and analyzed tongue score distribution,AHi examination and test of nasal sound reflection between two groups. Results Tongue score and AHI was positive correlation between two groups （r 0. 301, P 〈 0.01）. And Ⅲ and IV relative risk in experimental group was significantly higher than that in the control group,at the same time,the test value of nasal sound reflection was significantly lower than that in the control group ,with the statistically significant differ- ence （P 〈 O. 05 or P 〈 0.01）. Conclusions Nasal obstruction cart increase AHI values and relative risk for OSAHS patients with tongue score type Ⅲ and IV ,which should be strictly attended in clinic.