鼻中隔成形术联合鼻甲切除术治疗后睡眠问题患者的多导睡眠图及肺功能变化
Polysomnographic and pulmonary function changes in patients with sleep problems after septoplasty with turbinectomy.
作者信息
Mandour Yasser Mohammad Hassan, Abo Youssef Shaimaa Magdy, Moussa Hany Hussein
机构信息
Faculty of Medicine, Department of Otorhinolaryngology, Benha University, Benha Faculty of Medicine, Egypt.
Faculty of Medicine, Department of Pulmonary Diseases, Benha University, Benha Faculty of Medicine, Egypt.
出版信息
Am J Otolaryngol. 2019 Mar-Apr;40(2):187-190. doi: 10.1016/j.amjoto.2018.12.003. Epub 2018 Dec 11.
OBJECT
To compare Polysomnography and Pulmonary function tests before and after Septoplasty with Turbinectomy in patients complaining of nasal obstruction and sleep problems due to deviated septum with hypertrophic inferior turbinate.
METHODS
90 patients underwent Septoplasty with Turbinectomy due to nasal obstruction and sleep problems involved in this study, their sleep quality evaluated by polysomnography before and after the surgery, their pulmonary functions assessed by spirometry before and after the operation.
RESULTS
The postoperative pulmonary function values; FVC, FEV1, PEFR and postoperative polysomonographic values; AHI, Snoring index/hour, SpaO2 were higher than the preoperative values, and the results were statistically significant (p-values <0.001).
CONCLUSION
Septoplasty with partial inferior turbinectomy might be a useful operation in the management of nasal obstruction and sleep problems that caused by a deviated nasal septum and hypertrophied inferior turbinate.
目的
比较在因鼻中隔偏曲伴下鼻甲肥大而主诉鼻塞和睡眠问题的患者中，鼻中隔成形术联合鼻甲切除术前后的多导睡眠图和肺功能测试结果。
方法
本研究纳入90例因鼻塞和睡眠问题接受鼻中隔成形术联合鼻甲切除术的患者，术前和术后通过多导睡眠图评估其睡眠质量，术前和术后通过肺量计评估其肺功能。
结果
术后肺功能值；用力肺活量（FVC）、第一秒用力呼气容积（FEV1）、呼气峰值流速（PEFR）以及术后多导睡眠图值；呼吸暂停低通气指数（AHI）、每小时打鼾指数、血氧饱和度（SpaO2）均高于术前值，且结果具有统计学意义（p值<0.001）。
结论
鼻中隔成形术联合部分下鼻甲切除术可能是治疗由鼻中隔偏曲和下鼻甲肥大引起的鼻塞和睡眠问题的有效手术。
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