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打鼾患者的鼻内外扩张器:临床实践中的比较

Internal and external nasal dilatator in patients who snore: a comparison in clinical practice.

作者信息

Gelardi Matteo, Porro Giuseppe, Sterlicchio Brigida, Quaranta Nicola, Ciprandi Giorgio, Group On Sonoring Italian Study

机构信息

Otolaryngology Unit, Department of Basic Medical Science, Neuroscience and Sensory Organs, University of Bari, Italy.

出版信息

Acta Biomed. 2019 Jan 11;90(2-S):10-4. doi: 10.23750/abm.v90i2-S.8096.

DOI:10.23750/abm.v90i2-S.8096
PMID:30715031
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6502076/
Abstract

Snoring is a common symptom. The nasal valve area has the minimal cross-sectional area of the upper airways. So, nasal dilation may significantly reduce resistance to airflow and consequently could reduce snoring. Mechanical dilators may be used: they are external or internal. Nas-air® is a new internal nasal dilator. It was compared to a nasal strip (Rinazina Breathe Right®) in 41 outpatients who snore in an open study conducted in clinical practice. Snoring duration, assessed by smartphone, and visual analogue scale for the perception of sleep quality were measured before and during Nas-air® or nasal strip use. A significant reduction of snoring time and an improvement of sleep quality were achieved by wearing both devices. However, Nas-air® was effective in a larger number of patients and induced a better sleep quality than nasal strip. In conclusion, the present study demonstrates that Nas-air® is an internal nasal dilator able to reduce snoring time and to improve sleep quality, and may be preferred to the nasal strip by snoring patients.

摘要

打鼾是一种常见症状。鼻瓣区是上呼吸道横截面积最小的部位。因此,鼻腔扩张可能会显著降低气流阻力,从而减少打鼾。可使用机械扩张器:分为外部扩张器和内部扩张器。Nas-air®是一种新型的内部鼻腔扩张器。在一项临床实践中进行的开放性研究中,将其与鼻贴(Rinazina Breathe Right®)在41名打鼾的门诊患者中进行了比较。在使用Nas-air®或鼻贴之前和期间,通过智能手机评估打鼾持续时间,并使用视觉模拟量表评估睡眠质量感知。佩戴这两种装置均能显著减少打鼾时间并改善睡眠质量。然而,与鼻贴相比,更多患者使用Nas-air®有效,且其能带来更好的睡眠质量。总之,本研究表明,Nas-air®是一种能够减少打鼾时间并改善睡眠质量的内部鼻腔扩张器,打鼾患者可能更倾向于选择它而非鼻贴。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ba/6502076/3408ff09f6f2/ACTA-90-10-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ba/6502076/3408ff09f6f2/ACTA-90-10-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ba/6502076/3408ff09f6f2/ACTA-90-10-g002.jpg

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本文引用的文献

1
Internal nasal dilatator (Nas-Air®) in patients who snore.鼻腔内扩张器(Nas-Air®)在打鼾患者中的应用。
J Biol Regul Homeost Agents. 2018 Sep-Oct;32(5):1267-1273.
2
Reliability and construct validity of the Ottawa valve collapse scale when assessing external nasal valve collapse.评估外鼻阀塌陷时,渥太华阀塌陷量表的信度和结构效度。
J Otolaryngol Head Neck Surg. 2018 Feb 14;47(1):15. doi: 10.1186/s40463-018-0259-x.
3
Nocturnal nasal obstruction is frequent and reduces sleep quality in patients with obstructive sleep apnea.
夜间鼻塞很常见,会降低阻塞性睡眠呼吸暂停患者的睡眠质量。
J Sleep Res. 2018 Aug;27(4):e12631. doi: 10.1111/jsr.12631. Epub 2017 Nov 6.
4
The External Nasal Valve.鼻外阀
Facial Plast Surg Clin North Am. 2017 May;25(2):179-194. doi: 10.1016/j.fsc.2016.12.010. Epub 2017 Feb 20.
5
Systematic Review and Meta-analysis of Studies Evaluating Functional Rhinoplasty Outcomes with the NOSE Score.使用鼻功能评分评估功能性鼻整形术结果的研究的系统评价和荟萃分析
Otolaryngol Head Neck Surg. 2017 May;156(5):809-815. doi: 10.1177/0194599817691272. Epub 2017 Feb 7.
6
Breathing parameters associated to two different external nasal dilator strips in endurance athletes.耐力运动员中与两种不同的外部鼻扩张条相关的呼吸参数。
Auris Nasus Larynx. 2017 Dec;44(6):713-718. doi: 10.1016/j.anl.2017.01.006. Epub 2017 Jan 30.
7
Managing nasal valve compromise patients with nasal dilators: objective vs. subjective parameters.使用鼻扩张器治疗鼻瓣膜功能不全患者:客观参数与主观参数对比
Rhinology. 2016 Dec 1;54(4):348-354. doi: 10.4193/Rhino16.192.
8
Management of the Nasal Valve.鼻瓣膜的管理
Facial Plast Surg Clin North Am. 2016 Aug;24(3):219-34. doi: 10.1016/j.fsc.2016.03.001. Epub 2016 May 24.
9
A Comparison of Over-the-Counter Mechanical Nasal Dilators: A Systematic Review.非处方机械式鼻腔扩张器的比较:一项系统评价
JAMA Facial Plast Surg. 2016 Sep 1;18(5):385-9. doi: 10.1001/jamafacial.2016.0291.
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Int J Pediatr Otorhinolaryngol. 2016 May;84:37-42. doi: 10.1016/j.ijporl.2016.02.023. Epub 2016 Feb 27.