Virkkula Paula, Bachour Adel, Hytönen Maija, Malmberg Henrik, Salmi Tapani, Maasilta Paula
Department of Otorhinolaryngology, Peijas Hospital, Helsinki, Finland.
Chest. 2005 Oct;128(4):2176-82. doi: 10.1378/chest.128.4.2176.
Nocturnal and daytime symptoms are important determinants in clinical decision making in patients suspected of having sleep-disordered breathing (SDB). We compared patients' and bed partners' reporting of symptoms associated with SDB in a clinical sample of snoring men. The bed partners' view on snoring disturbance was assessed. The relationship between sleep parameters, anthropometric data, and selected subjective symptoms was assessed. Additionally, we evaluated the relationship between smoking, nasal resistance, and habitual snoring.
A cross-sectional, prospective study.
University teaching hospital.
Thirty-seven consecutive snoring men referred to ENT Hospital because of a snoring problem or suspicion of sleep apnea, and scheduled for surgical treatment of nasal obstruction.
The patients completed a sleep questionnaire, a questionnaire on nasal history, and the Epworth sleepiness scale. The bed partners were asked to complete a separate sleep questionnaire of the patient's daytime and nocturnal symptoms. Both patients and bed partners evaluated the intensity of snoring on a visual analog scale. The patients underwent polysomnography and anterior rhinomanometry.
Agreement of patients' and bed partners' reports on symptoms related to SDB was good in this material. One half of the bed partners were disturbed by snoring every night or almost every night, and one third of the bed partners reported disharmony in the relationship from time to time or repeatedly due to snoring. The combination of current smoking and total nasal resistance in a supine position higher than the median value in this patient sample was associated with history of habitual snoring.
Male patients and their bed partners seem to give congruent reports of snoring and symptoms related to SDB in a clinical population with mild SDB. One half of the bed partners found their sleep constantly disturbed. The combination of current smoking and high nasal resistance was related with habitual snoring.
夜间和白天症状是疑似患有睡眠呼吸障碍（SDB）患者临床决策的重要决定因素。我们比较了打鼾男性临床样本中患者及其床伴报告的与SDB相关的症状。评估了床伴对打鼾干扰的看法。评估了睡眠参数、人体测量数据与选定主观症状之间的关系。此外，我们评估了吸烟、鼻阻力与习惯性打鼾之间的关系。
一项横断面前瞻性研究。
大学教学医院。
37名因打鼾问题或疑似睡眠呼吸暂停而转诊至耳鼻喉医院并计划接受鼻阻塞手术治疗的连续打鼾男性。
患者完成一份睡眠问卷、一份鼻病史问卷和爱泼华嗜睡量表。要求床伴完成一份关于患者白天和夜间症状的单独睡眠问卷。患者和床伴均通过视觉模拟量表评估打鼾强度。患者接受多导睡眠图检查和前鼻测压。
在该样本中，患者和床伴关于与SDB相关症状的报告一致性良好。一半的床伴每晚或几乎每晚都受到打鼾干扰，三分之一的床伴报告因打鼾不时或反复出现关系不和谐。在该患者样本中，当前吸烟与仰卧位总鼻阻力高于中位数的组合与习惯性打鼾史相关。
在轻度SDB的临床人群中，男性患者及其床伴关于打鼾和与SDB相关症状的报告似乎一致。一半的床伴发现他们的睡眠经常受到干扰。当前吸烟与高鼻阻力的组合与习惯性打鼾有关。
