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成年患者睡眠质量的影响分析  

Effect of nasal dilation on quality of sleep in adult patients with chronic rhinosinusitis and sleep apnea hypopnea syndrome

作　　者：龚齐[1] 张劼 赵屏屏 GONG Qi1, ZHANG Jie2, ZHAO Pingping2(1. Department of Otolaryngology, Baoshan branch of Shuguang Hospital Affiliated with Shanghai University of Traditional Chinese Medicine, Shanghai 201901, China; 2. Department of Otolaryngology, Dachang Hospital of Baoshan District of Shanghai, Shang- hai 200436, Chin)

机构地区：[1]上海中医药大学附属曙光医院宝山分院耳鼻喉科,上海201901 [2]上海市宝山区大场医院耳鼻喉科,上海200436

出　　处：《山东大学耳鼻喉眼学报》2018年第2期52-55,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

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。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（ P0.05）,compared with the preoperative score;ESS and total nasal resistance also significantly decreased（ P0.05 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.

关 键 词：睡眠呼吸暂停 阻塞性 鼻腔扩容术 慢性鼻-鼻窦炎 SNOT-20量表 

分 类 号：R766.7[医药卫生—耳鼻咽喉科]