[功能性鼻中隔成形术在阻塞性睡眠呼吸暂停综合征中的作用]
[Effects of functional septoplasty in obstructive sleep apnea syndrome].
作者信息
Lorente Juan, Jurado María José, Romero Odile, Quesada Pedro, Quesada Juan L, Sagalés Teresa
机构信息
Servicio de Otorrinolaringología, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
出版信息
Med Clin (Barc). 2005 Sep 10;125(8):290-2. doi: 10.1157/13078422.
BACKGROUND AND OBJECTIVE
To evaluate the efficacy of functional septoplasty in a group of patients with septal dysmorphy and obstructive sleep apnea syndrome (OSAS).
PATIENTS AND METHOD
34 patients with nasal respiratory insufficiency and chronic snore were included from 1997 to 2003. All of them were diagnosed of OSAS by nocturnal polysomnography (PSG) and of septal dysmorphy by ORL physical examination. Patients were clinically followed-up at 1, 3 and 6 months after surgery. PSG was also evaluated at 6 months postsurgery.
RESULTS
A significant objective reduction of the apnea-hypopnea index (AHI) (45.8 vs 31.9), severity of OSAS, and minimal mean oxygen saturation (76.4 to 83.1) was found. Moreover, we observed a significant improvement of subjective scales of sleepiness (13 vs 6) and the patients' satisfaction degree (72% of patients improved).
CONCLUSIONS
Functional septoplasty is an effective treatment in patients with OSAS and septal dysmorphy.
背景与目的
评估功能性鼻中隔成形术对一组鼻中隔畸形伴阻塞性睡眠呼吸暂停综合征（OSAS）患者的疗效。
患者与方法
1997年至2003年纳入34例鼻呼吸功能不全及慢性打鼾患者。所有患者均通过夜间多导睡眠图（PSG）诊断为OSAS，并通过耳鼻喉科体格检查诊断为鼻中隔畸形。术后1、3和6个月对患者进行临床随访。术后6个月也对PSG进行评估。
结果
发现呼吸暂停低通气指数（AHI）显著降低（从45.8降至31.9），OSAS严重程度降低，平均最低血氧饱和度从76.4提高到83.1。此外，我们观察到嗜睡主观量表评分显著改善（从13降至6），患者满意度提高（72%的患者病情改善）。
结论
功能性鼻中隔成形术是治疗OSAS和鼻中隔畸形患者的有效方法。
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