Jensen P F, Kristensen S, Juul A, Johannessen N W
Department of Otolaryngology, Central Hospital, Esbjerg, Denmark.
Clin Otolaryngol Allied Sci. 1991 Oct;16(5):433-5. doi: 10.1111/j.1365-2273.1991.tb01034.x.
Nasal obstruction influences respiration during sleep and nasal packs may cause obstructive sleep apnoea. In order to investigate this, the perioperative oxygen saturation was monitored for 3 nights with continuous pulse oximetry in 12 patients, who had bilateral nasal packs after septoplasty. A significant increase in the number of nocturnal episodes of hypoxia and a significant prolongation of the mean duration of the individual hypoxic periods were demonstrated during the first and the second post-operative nights. The clinical significance of these results is as yet unknown, but the use of partial nasal packing in septoplasty is advocated. Further investigations of nocturnal oxygen desaturation and design of nasal packs, securing the post-operative nasal airway, are needed.
鼻塞会影响睡眠期间的呼吸，而鼻腔填塞物可能导致阻塞性睡眠呼吸暂停。为了对此进行研究，对12例鼻中隔成形术后双侧鼻腔填塞的患者，连续3个晚上使用连续脉搏血氧饱和度监测围手术期血氧饱和度。结果显示，术后第一晚和第二晚夜间缺氧发作次数显著增加，且个体缺氧期的平均持续时间显著延长。这些结果的临床意义尚不清楚，但提倡在鼻中隔成形术中使用部分鼻腔填塞。需要进一步研究夜间氧饱和度下降情况，并设计能确保术后鼻腔气道通畅的鼻腔填塞物。
