鼻阻塞对阻塞性睡眠呼吸暂停低通气综合征的影响研究  

The impact of nasal obstruction on OSAHS

作　　者：朱华斌[1] 冯云海[1] 赵春红[1] 

机构地区：[1]江苏大学附属上海市第八人民医院耳鼻咽喉科,上海200235

出　　处：《临床耳鼻咽喉头颈外科杂志》2010年第12期547-548,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨鼻阻塞对OSAHS严重性的影响。方法:120例OSAHS患者伴或不伴鼻阻塞,经脉搏传导时间监测,舌位评分和鼻声反射测试,进行相关分析。结果:舌位评分与AHI呈正相关(r=0.266,P<0.01)。在120例OSAHS患者中舌位评分Ⅲ或Ⅳ型的相对危险度RR=1.96,而伴有鼻阻塞者RR=2.46。结论:鼻阻塞在舌位评分Ⅲ或Ⅳ型的OSAHS患者中相对危险度较高。Objective：To evaluate the impact of nasal obstruction on OSAHS. Method：One hundred and twenty cases of OSAHS with or without nasal obstruction were analyzed by Hypno PTT（ PTT） and Mallampati score（ MS） ; Acoustic rhinometry was measured in all 120 cases. Result：A significant correlation was found between the MS and the AHI measured during the sleep（ r = 0. 266,P 0. 01）. The relative risk of OSAHS with a MS of Ⅲ or Ⅳ in the whole group was 1. 96,and 2. 46 in cases with nasal obstruction. Conclusion：A high MS represents a predisposing factor for OSAHS,especially in which associated with nasal obstruction.

关 键 词：睡眠呼吸暂停低通气综合征 阻塞性 鼻阻塞 鼻声反射 舌位评分 

分 类 号：R563.8[医药卫生—呼吸系统]