Xu Huijie, Yu Hui, Jia Ruifang, Gao Zhan, Huang Weining, Peng Hao
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 Jun;29(11):977-9, 983.
to investigate the origin characters of snore in simple snorers and provide the basis for its treatment.
Thirty-two simple snorers diagnosed by polysomnography were induced to sleep by propofol and dexmedetomidine, then we observed the vibration sites, pattern and concomitant collapse of soft tissue in pharyngeal cavity by nasendoscopy.
Thirteen cases showed palatal fluttering only, and 1 case showed vibration of epiglottis only. Six cases showed palatal fluttering with vibration of epiglottis, and 2 cases showed palatal fluttering with vibration of epiglottis and tongue base. Five cases showed palatal fluttering with vibration of pharyngeal lateral wall, and 5 cases showed palatal fluttering with vibration of lateral wall, epiglottis and tongue base together. Palate and pharyngeal lateral wall vibrated strongly and always collapsed with vibrating, but epiglottis and tongue base usually vibrated slightly and seldom collapsed.
The palatal fluttering is the main source of snoring sounds for most simple snorers, then followed by vibration of palatal and pharyngeal lateral wall together. The site of collapse in pharyngeal cavity is consistent with the main site of vibration.
探讨单纯鼾症患者鼾声的起源特点,为其治疗提供依据。
对32例经多导睡眠图诊断的单纯鼾症患者采用丙泊酚和右美托咪定诱导睡眠,然后通过鼻内镜观察咽腔软组织的振动部位、方式及伴随的塌陷情况。
13例仅表现为腭部颤动,1例仅表现为会厌振动。6例表现为腭部颤动伴会厌振动,2例表现为腭部颤动伴会厌及舌根振动。5例表现为腭部颤动伴咽侧壁振动,5例表现为腭部颤动伴侧壁、会厌及舌根同时振动。腭部和咽侧壁振动强烈,且振动时总是塌陷,但会厌和舌根通常振动轻微且很少塌陷。
腭部颤动是大多数单纯鼾症患者鼾声的主要来源,其次是腭部和咽侧壁同时振动。咽腔塌陷部位与主要振动部位一致。