Bury Sean B, Singh Ameet
George Washington University, Division of Otolaryngology, Washington, District of Columbia, USA.
Curr Opin Otolaryngol Head Neck Surg. 2015 Feb;23(1):39-46. doi: 10.1097/MOO.0000000000000129.
This review highlights recent advances and views on the role of the nose in snoring and obstructive sleep apnoea.
Recent reviews and past randomized controlled trials generally agree that nasal surgery may improve quality of life in snoring and obstructive sleep apnoea. There have been no published randomized controlled trials regarding nasal treatments in snoring or obstructive sleep apnoea in the past year.
Snoring and obstructive sleep apnoea are upper airway disorders in which the role of the nose has been well researched. Studies support that nasal surgery improves quality of life in snoring, but it may not lead to resolution of snoring. Likewise, nasal treatments for obstructive sleep apnoea increase the quality of life and treatment compliance in some patients. Further stratification of patients who may benefit from nasal intervention may clarify the role of nasal surgery.
本综述重点介绍了关于鼻子在打鼾和阻塞性睡眠呼吸暂停中作用的最新进展和观点。
近期的综述和过去的随机对照试验普遍认为，鼻腔手术可能改善打鼾和阻塞性睡眠呼吸暂停患者的生活质量。过去一年中，尚无关于打鼾或阻塞性睡眠呼吸暂停鼻腔治疗的随机对照试验发表。
打鼾和阻塞性睡眠呼吸暂停是上气道疾病，其中鼻子的作用已得到充分研究。研究支持鼻腔手术可改善打鼾患者的生活质量，但可能无法消除打鼾。同样，阻塞性睡眠呼吸暂停的鼻腔治疗可提高部分患者的生活质量和治疗依从性。对可能从鼻腔干预中获益的患者进行进一步分层，可能会明确鼻腔手术的作用。
