Tosun Fuat, Kemikli Kismet, Yetkin Sinan, Ozgen Fuat, Durmaz Abdullah, Gerek Mustafa
Department of Otorhinolaryngology Head and Neck Surgery, Gulhane Military Medical School, Ankara, Turkey.
J Craniofac Surg. 2009 Mar;20(2):446-9. doi: 10.1097/SCS.0b013e31819b97ef.
The aim of this study was to investigate the effect of endoscopic sinus surgery on sleep quality in a patient group who has chronic nasal obstruction resulting from nasal polyposis.
Twenty-seven patients with nasal polyposis, filling at least 50% of each nasal passage, were enrolled in the study. Assessment of nasal patency was determined by nasal endoscopy and acoustic rhinometry. All patients underwent endoscopic sinus surgery with polypectomy. Sleep quality was evaluated, using visual analog scale, Epworth sleepiness scale, and polysomnography before and 3 months after the surgery.
Nasal resistance decreased significantly after the surgery (P < 0.01). Snoring scores were significantly improved postoperatively (P < 0.01) and completely disappeared in 9 of 27 patients. A significant improvement occurred in mean daytime sleepiness scores in the postoperative period (4.14) as compared with the preoperative values (9.44; P < 0.01). There was no significant difference between preoperative (6.85) and postoperative (5.53) mean values of apnea-hypopnea index (P = 0.55).
Endoscopic sinus surgery with polypectomy significantly improves sleep quality, including snoring and daytime sleepiness in patients with chronic nasal obstruction due to nasal polyposis. However, it has a limited benefit on apnea-hypopnea index scores.
本研究旨在调查鼻息肉导致慢性鼻塞的患者群体中，鼻内镜鼻窦手术对睡眠质量的影响。
纳入27例鼻息肉患者，息肉至少占据每个鼻腔通道的50%。通过鼻内镜检查和声反射鼻测量法评估鼻腔通畅情况。所有患者均接受鼻内镜鼻窦手术及息肉切除术。术前及术后3个月，使用视觉模拟量表、爱泼华嗜睡量表和多导睡眠图评估睡眠质量。
术后鼻阻力显著降低（P < 0.01）。术后打鼾评分显著改善（P < 0.01），27例患者中有9例打鼾完全消失。与术前值（9.44）相比，术后平均日间嗜睡评分显著改善（4.14；P < 0.01）。术前（6.85）和术后（5.53）的呼吸暂停低通气指数平均值之间无显著差异（P = 0.55）。
鼻内镜鼻窦手术联合息肉切除术可显著改善因鼻息肉导致慢性鼻塞患者的睡眠质量，包括打鼾和日间嗜睡情况。然而，对呼吸暂停低通气指数评分的改善作用有限。
Zotero 插件