Düzenli Ufuk, Bozan Nazim, Sonkaya Yasin, Çetin Yaser Said, Demir Halit
Department of Otorhinolaryngology, Faculty of Medicine, Yüzüncü Yil University.
Department of Otorhinolaryngology, Van Education and Research Hospital.
J Craniofac Surg. 2019 May/Jun;30(3):851-853. doi: 10.1097/SCS.0000000000005244.
Nasal septum deviation (NSD) may lead to chronic hypoxia and increased oxidative stress.The main goal of this study was to investigate the effect of NSD on malondialdehyde (MDA), catalase (CAT), superoxide dismutase (SOD), and glutathione (GSH) levels.
There were 30 patients with NSD and 30 healthy subjects in this study. Malondialdehyde, CAT, SOD, and GSH levels were determined in the control and study groups. The measurements were done preoperatively and postoperatively. Study group patients completed the Nasal Obstruction Symptom Evaluation questionnaire preoperatively and postoperatively to determine the success of the septoplasty.
Higher CAT, SOD, and GSH levels and lower MDA levels were found in the control group compared with the study group (P < 0.05). After septoplasty, Nasal Obstruction Symptom Evaluation scores improved significantly and CAT, SOD, and GSH levels increased significantly (all, P < 0.05). Malondialdehyde levels did not decrease significantly after surgery (P > 0.05).
Nasal obstruction due to nasal septal deviation led to lower antioxidant enzyme levels, and correction of the septum led to an increase in antioxidant levels.
鼻中隔偏曲(NSD)可能导致慢性缺氧并增加氧化应激。本研究的主要目的是调查鼻中隔偏曲对丙二醛(MDA)、过氧化氢酶(CAT)、超氧化物歧化酶(SOD)和谷胱甘肽(GSH)水平的影响。
本研究中有30例鼻中隔偏曲患者和30名健康受试者。在对照组和研究组中测定丙二醛、CAT、SOD和GSH水平。测量在术前和术后进行。研究组患者在术前和术后完成鼻阻塞症状评估问卷,以确定鼻中隔成形术的成功率。
与研究组相比,对照组中CAT、SOD和GSH水平较高,MDA水平较低(P<0.05)。鼻中隔成形术后,鼻阻塞症状评估评分显著改善,CAT、SOD和GSH水平显著升高(均P<0.05)。术后丙二醛水平没有显著降低(P>0.05)。
鼻中隔偏曲引起的鼻阻塞导致抗氧化酶水平降低,鼻中隔矫正导致抗氧化水平升高。