Zhou Y C, Sun J W
Department of Otorhinolaryngology Head and Neck Surgery, Provincial Hospital Affiliated to Anhui Medical University, First Affiliated Hospital of University of Science and Technology of China, Hefei 230001, China; Department of Otorhinolaryngology, Head and Neck Surgery, Lu'an Second People's Hospital, Lu'an 237000, China.
Department of Otorhinolaryngology Head and Neck Surgery, Provincial Hospital Affiliated to Anhui Medical University, First Affiliated Hospital of University of Science and Technology of China, Hefei 230001, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2019 Aug 7;54(8):606-609. doi: 10.3760/cma.j.issn.1673-0860.2019.08.009.
To investigate the effect of nasal cavity ventilation expansion techniques in treatment of obstructive sleep apnea hypopnea syndrome (OSAHS) with nasal obstruction. Thirty-two OSAHS patients with nasal obstruction hospitalized from January 2017 to January 2018 in Department of Otorhinolaryngology Head and Neck Surgery, Provincial Hospital Affiliated to Anhui Medical University were selected, with 28 males and 4 females, aged 40.3±8.5 years old (±), and treated with individualized nasal cavity ventilation expansion techniques. Nasal acoustic reflex and resistance examination, polysomnography (PSG) monitoring were performed before and three months after operation. Nasal obstruction symptom evaluation (NOSE) and Quebec sleep questionnaire (QSQ) were completed as well. The nasal acoustic reflex, nasal resistance, NOSE, QSQ score, apnea hypopnea index (AHI) and lowest arterial oxygen saturation (LSaO(2)) before and after operation were compared and analyzed. SPSS 22.0 software was used for statistical analysis. After the operation, the total nasal resistance and total score of NOSE scale of patients decreased significantly as well as the total score of QSQ scale increased significantly ((0.140±0.043) kPa·s/L (0.277±0.067) kPa·s/L, 9.84±4.11 53.00±11.57, 5.67±0.43 3.86±0.46, value was 10.687, 18.035, -16.904, respectively, all 0.05), and the scores of five dimensions increased in varying degrees. Among the indexes of PSG, there was no significant difference in AHI and LSaO(2) values before and after operation, but AHI decreased and LSaO(2) increased. Nasal cavity ventilation expansion techniques can effectively alleviate the symptoms of nasal obstruction in OSAHS patients and improve their sleep and quality of life.
探讨鼻腔通气扩张技术治疗合并鼻腔阻塞的阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的效果。选取2017年1月至2018年1月在安徽医科大学附属省立医院耳鼻咽喉头颈外科住院的32例合并鼻腔阻塞的OSAHS患者，其中男28例，女4例，年龄（40.3±8.5）岁，采用个体化鼻腔通气扩张技术进行治疗。分别于术前及术后3个月行鼻声反射及鼻阻力检查、多导睡眠图（PSG）监测，并完成鼻腔阻塞症状评估（NOSE）及魁北克睡眠问卷（QSQ）。比较分析手术前后患者的鼻声反射、鼻阻力、NOSE、QSQ评分、呼吸暂停低通气指数（AHI）及最低动脉血氧饱和度（LSaO₂）。采用SPSS 22.0软件进行统计学分析。术后患者的总鼻阻力及NOSE量表总分显著降低，QSQ量表总分显著升高（（0.140±0.043）kPa·s/L比（0.277±0.067）kPa·s/L，9.84±4.11比53.00±11.57，5.67±0.43比3.86±0.46，P值分别为10.687、18.035、-16.904，均P<0.05），且五个维度的评分均有不同程度升高。PSG各项指标中AHI及LSaO₂手术前后差异无统计学意义，但AHI呈下降趋势，LSaO₂呈上升趋势。鼻腔通气扩张技术可有效缓解OSAHS患者鼻腔阻塞症状，改善睡眠及生活质量。
