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鼻瓣在阻塞性睡眠呼吸暂停综合征患者中的作用。

The role of the nasal valve in patients with obstructive sleep apnea syndrome.

作者信息

Gelardi Matteo, Intiglietta Pierluigi, Porro Giuseppe, Quaranta Vitaliano Nicola, Resta Onofrio, Quaranta Nicola, Ciprandi Giorgio

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):15-8. doi: 10.23750/abm.v90i2-S.8097.

DOI:10.23750/abm.v90i2-S.8097
PMID:30715032
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6502075/
Abstract

The nasal valve area has the minimal cross-sectional area of the upper airways. A problem at this level may easily induce impaired breathing. Obstructive sleep apnea syndrome (OSAS) is a common disorder. It has been reported that nasal obstruction may be associated with OSAS. The aim of this study was to investigate the role of nasal valve in a group of OSAS patients. Polysomnography was performed. Patients with bilateral valve incontinence had lower SaO2-nadir than patients with unilateral (or no) one. In conclusion, the present study demonstrates that a bilateral nasal valve incontinence is associated with more severe nocturnal respiratory pattern in patients with OSAS.

摘要

鼻瓣区是上呼吸道中横截面积最小的部位。该水平出现问题可能很容易导致呼吸障碍。阻塞性睡眠呼吸暂停综合征(OSAS)是一种常见病症。据报道,鼻阻塞可能与OSAS有关。本研究的目的是调查鼻瓣在一组OSAS患者中的作用。进行了多导睡眠图检查。双侧鼻瓣失禁的患者比单侧(或无)鼻瓣失禁的患者有更低的最低血氧饱和度(SaO2)。总之,本研究表明双侧鼻瓣失禁与OSAS患者更严重的夜间呼吸模式有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/231e/6502075/7c28e803720f/ACTA-90-15-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/231e/6502075/7c28e803720f/ACTA-90-15-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/231e/6502075/7c28e803720f/ACTA-90-15-g001.jpg

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J Sleep Res. 2018 Aug;27(4):e12631. doi: 10.1111/jsr.12631. Epub 2017 Nov 6.
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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.
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鼻腔手术对 OSA 患者(对 PAP 设备佩戴不适)PAP 依从性和最佳应用的临床影响。
Sci Rep. 2023 Mar 16;13(1):4383. doi: 10.1038/s41598-023-31588-7.
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Management of the Nasal Valve.鼻瓣膜的管理
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Does Nasal Surgery Improve OSA in Patients with Nasal Obstruction and OSA? A Meta-analysis.鼻手术能否改善鼻塞合并阻塞性睡眠呼吸暂停患者的阻塞性睡眠呼吸暂停?一项荟萃分析。
Otolaryngol Head Neck Surg. 2015 Sep;153(3):326-33. doi: 10.1177/0194599815594374. Epub 2015 Jul 16.
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Prevalence of sleep-disordered breathing in the general population: the HypnoLaus study.普通人群中睡眠呼吸紊乱的患病率:HypnoLaus 研究。
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