Department of Otolaryngology-Head & Neck Surgery, University of California, San Francisco, CA, USA.
Department of Otolaryngology-Head & Neck Surgery, University of California, San Francisco, CA, USA.
Otolaryngol Clin North Am. 2024 Jun;57(3):491-500. doi: 10.1016/j.otc.2023.11.002. Epub 2023 Dec 9.
Nasal obstruction is common in patients with obstructive sleep apnea (OSA) and may variably impact symptoms and severity of OSA. It is associated with decreased continuous positive airway pressure (CPAP) compliance, and both medical and surgical management of nasal obstruction have resulted in increased CPAP adherence. Treatment of OSA with comorbid rhinitis via topical nasal steroids demonstrates a beneficial impact on daytime sleepiness. Isolated nasal surgery has been shown to result in decreased daytime sleepiness and snoring, with minimal effect on OSA severity.
鼻塞在阻塞性睡眠呼吸暂停(OSA)患者中很常见,可能会对 OSA 的症状和严重程度产生不同的影响。它与持续气道正压通气(CPAP)顺应性降低有关,对鼻塞的医疗和手术治疗都导致 CPAP 依从性增加。通过局部鼻腔类固醇治疗伴有鼻炎的 OSA 显示对白天嗜睡有有益影响。单独的鼻手术已被证明可以减少白天嗜睡和打鼾,对 OSA 严重程度的影响最小。