Virkkula Paula, Hytönen Maija, Bachour Adel, Malmberg Henrik, Hurmerinta Kirsti, Salmi Tapani, Maasilta Paula
ENT Hospital.
Am J Rhinol. 2007 Mar-Apr;21(2):169-73. doi: 10.2500/ajr.2007.21.2991.
The aim of this study was to compare subgroups of smokers and nonsmokers undergoing nasal surgery and to evaluate improvement of nasal stuffiness, snoring, and symptoms related to sleep-disordered breathing after nasal surgery.
A cross-sectional prospective study was performed. The study population included 40 consecutive snoring men scheduled for surgical treatment of nasal obstruction. The patients completed nasal and sleep questionnaires, an Epworth sleepiness scale, and a visual analog scale of snoring intensity. They underwent polysomnography, anterior rhinomanometry, acoustic rhinometry, and cephalometric analysis.
The smokers were younger, they snored longer and louder, and they had higher nasal resistance with decongestion and longer soft palates than the nonsmokers. Nasal stuffiness improved well after surgery, but a decrease of nasal resistance was not related to improvement of subjective snoring.
Smoking was associated with increased snoring, nasal obstruction, and pharyngeal soft tissue volume. Expectations of patients may influence subjective assessment of snoring after nasal surgery.
本研究的目的是比较接受鼻腔手术的吸烟者和非吸烟者亚组，并评估鼻腔手术后鼻阻塞、打鼾及与睡眠呼吸障碍相关症状的改善情况。
进行了一项横断面前瞻性研究。研究人群包括40名连续的因鼻阻塞计划接受手术治疗的打鼾男性。患者完成了鼻腔和睡眠问卷、爱泼华嗜睡量表以及打鼾强度视觉模拟量表。他们接受了多导睡眠监测、前鼻测压、声反射鼻测量及头影测量分析。
吸烟者更年轻，打鼾时间更长、声音更大，与非吸烟者相比，他们在使用减充血剂后鼻阻力更高且软腭更长。鼻腔手术后鼻阻塞改善良好，但鼻阻力降低与主观打鼾的改善无关。
吸烟与打鼾增加、鼻阻塞及咽部软组织体积增大有关。患者的期望可能会影响鼻腔手术后打鼾的主观评估。
