Universidade de Brasília (UnB), Faculdade de Medicina, Brasília, DF, Brazil; Hospital Universitário de Brasília, Divisão de Cirurgia, Departamento de Otorrinolaringologia - Cirurgia de Cabeça e Pescoço, Brasília, DF, Brazil.
Universidade de Brasília (UnB), Faculdade de Medicina, Brasília, DF, Brazil.
Braz J Otorhinolaryngol. 2019 Nov-Dec;85(6):780-787. doi: 10.1016/j.bjorl.2019.06.008. Epub 2019 Jul 29.
Chronic rhinosinusitis can lead to poor sleep quality in affected individuals. Endoscopic nasal surgery has been indicated for patients with chronic rhinosinusitis, resulting in improved quality of life, but it is still unknown if there is a similar improvement in sleep quality after the surgical procedure.
To estimate the sleep quality of patients with chronic rhinosinusitis after undergoing endoscopic sinus surgery.
The literature search was conducted in the indexed databases PubMed, Embase, Lilacs, SciELO, Google Scholar, Web of Science, Scopus, Database of Thesis and Dissertations of CAPES, Cochrane Library, Clinical Trials and in the grey literature. It included studies that reported the sleep quality of patients with chronic rhinosinusitis after undergoing endoscopic sinus surgery based on questionnaires assessing quality of life. Two researchers independently conducted the study selection and extraction. The random effects model was chosen to conduct the meta-analysis that was performed using the statistical package STATA, version 11.
Overall, 4 studies and 509 subjects were included in the systematic review. Improved sleep quality was observed in 90% of the patients. There was an improvement (on average, from 57% to 67%) in each of the five symptoms related to sleep quality. The results of the meta-analysis revealed high heterogeneity.
This review shows that a large percentage of patients report improved sleep quality after endoscopic sinus surgery.
慢性鼻-鼻窦炎可导致患者睡眠质量下降。对于慢性鼻-鼻窦炎患者，已经表明内镜鼻窦手术是有效的，这可以提高生活质量，但手术是否能改善睡眠质量仍不清楚。
评估内镜鼻窦手术后慢性鼻-鼻窦炎患者的睡眠质量。
检索了 PubMed、Embase、Lilacs、SciELO、Google Scholar、Web of Science、Scopus、CAPES 论文数据库、Cochrane 图书馆、临床试验和灰色文献中的索引数据库，纳入了基于评估生活质量的问卷报告慢性鼻-鼻窦炎患者内镜鼻窦手术后睡眠质量的研究。两位研究人员独立进行了研究选择和提取。采用 STATA 统计软件包进行随机效应模型的荟萃分析。
系统评价共纳入了 4 项研究和 509 例患者。90%的患者睡眠质量得到改善。与睡眠质量相关的五个症状中，每个症状的平均改善率（从 57%提高至 67%）。荟萃分析结果显示存在高度异质性。
该综述表明，很大比例的患者报告内镜鼻窦手术后睡眠质量得到改善。
