Zhou M H, Zhao Y L, Zhang Y J, Zhang S T
Department of Rhinology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou,450052, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Jun;32(12):941-943;948. doi: 10.13201/j.issn.1001-1781.2018.12.014.
To investigate efficacy of individualized nasal cavity ventilation expansion techniques for OSAHS patients with nasal obstruction. One hundred and twelve OSAHS patients with nasal obstruction were included in this study. Nasal cavity ventilation expansion techniques were performed. Every patient took the examination of acoustic rhinometry, nasal respiration volume, rhinomanometry and polysomnography, and filled VAS of nasal obstruction and Epworth Sleep Scores(ESS) before surgery and three months after surgery. Follow-up was for 6－12 months. Of all the patients, 39 cases were cured, 37 cases were remarkably improved, 21 cases were effective, and 15 cases were of no effect, respectively. Compared with pre-operative examination data in all OSAHS patients, nasal ventilation was markedly improved, the ESS was significantly decreased, the AHI was significantly decreased, LSaO2 and MSaO2 were significantly increased, and sleep structure did not change significantly in all OSAHS patients 6 month after nasal surgery. Individualized nasal cavity ventilation expansion techniques is an effective treatment for OSAHS patients with nasal obstruction，improves the safety of patients with UPPP surgery, and the tolerability of CPAP in some patients with ineffective surgery.
探讨个体化鼻腔通气扩张技术治疗合并鼻阻塞的阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患者的疗效。本研究纳入112例合并鼻阻塞的OSAHS患者，均实施鼻腔通气扩张技术。每位患者均接受鼻声反射、鼻腔呼吸量、鼻阻力及多导睡眠图检查，并于术前及术后3个月填写鼻阻塞视觉模拟量表（VAS）及爱泼华嗜睡量表（ESS）。随访6～12个月。所有患者中，治愈39例，显效37例，有效21例，无效15例。与所有OSAHS患者术前检查数据相比，鼻腔手术后6个月时，所有OSAHS患者鼻腔通气明显改善，ESS显著降低，呼吸暂停低通气指数（AHI）显著降低，最低血氧饱和度（LSaO2）及平均血氧饱和度（MSaO2）显著升高，睡眠结构无明显改变。个体化鼻腔通气扩张技术是治疗合并鼻阻塞的OSAHS患者的有效方法，提高了悬雍垂腭咽成形术（UPPP）患者的安全性，以及部分手术效果不佳患者对持续气道正压通气（CPAP）的耐受性。
