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阻塞性睡眠呼吸暂停患者的鼻内扩张器

Internal nasal dilator in patients with obstructive sleep apnea.

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):19-23. doi: 10.23750/abm.v90i2-S.8099.

DOI:10.23750/abm.v90i2-S.8099
PMID:30715033
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6502074/
Abstract

The nasal valve area has the minimal cross-sectional area of the upper airways. Obstructive sleep apnea (OSA) is a common disorder. It has been reported that nasal obstruction may be associated with OSA. The aim of this study was to investigate whether the use an internal nasal dilator may be able to affect respiratory pattern in a group of patients with OSA. The use of internal nasal dilator was able to significantly reduce two relevant respiratory outcomes, such as the apnea-hypopnea index and the oxygen desaturation index, notably there was also a positive trend for the reduction of total sleep time with HbO2 <90%). Nas-air® was also able to significantly improve restorative sleep performance. In conclusion, the present study demonstrates that Nas-air® is a new internal nasal dilator potentially capable to significantly improve respiratory outcomes and sleep quality.

摘要

鼻瓣区是上呼吸道中横截面积最小的部位。阻塞性睡眠呼吸暂停(OSA)是一种常见疾病。据报道,鼻阻塞可能与OSA有关。本研究的目的是调查使用鼻内扩张器是否能够影响一组OSA患者的呼吸模式。使用鼻内扩张器能够显著降低两个相关的呼吸指标,如呼吸暂停低通气指数和氧饱和度下降指数,值得注意的是,在总睡眠时间中血红蛋白氧饱和度<90%的时间减少方面也有积极趋势。Nas-air®还能够显著改善恢复性睡眠表现。总之,本研究表明Nas-air®是一种新型鼻内扩张器,有可能显著改善呼吸指标和睡眠质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f22e/6502074/4354cc4def49/ACTA-90-19-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f22e/6502074/4354cc4def49/ACTA-90-19-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f22e/6502074/4354cc4def49/ACTA-90-19-g001.jpg

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本文引用的文献

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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
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.
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Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline.
成人阻塞性睡眠呼吸暂停诊断检测临床实践指南:美国睡眠医学学会临床实践指南
J Clin Sleep Med. 2017 Mar 15;13(3):479-504. doi: 10.5664/jcsm.6506.
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F1000Prime Rep. 2014 May 6;6:36. doi: 10.12703/P6-36. eCollection 2014.
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Correlation between nasal anatomy and objective obstructive sleep apnea severity.鼻腔解剖结构与客观阻塞性睡眠呼吸暂停严重程度的相关性。
Otolaryngol Head Neck Surg. 2014 Feb;150(2):325-31. doi: 10.1177/0194599813515838. Epub 2013 Dec 13.
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Adult obstructive sleep apnoea.成人阻塞性睡眠呼吸暂停。
Lancet. 2014 Feb 22;383(9918):736-47. doi: 10.1016/S0140-6736(13)60734-5. Epub 2013 Aug 2.
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Emerging therapies for obstructive sleep apnea.阻塞性睡眠呼吸暂停的新兴疗法。
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