Effect of Narrow Nasal Cavity on the Obstructive Sleep Apnea Hypopnea Syndrome_West China Medical Journal

Authors：

ZHAN Liangqin , YANG Xing , CHEN Min , LI He , WANG Qing , XIE Yan , LIU Xiaoqin

The Hospital of the Fifth Metal Construction Company of China, Chengdu, Sichuan 610081, P.R. China;

Corresponding author：

Keywords：

阻塞性睡眠呼吸暂停低通气综合征; 鼻气道; 狭窄

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【摘要】目的 探讨手术治疗鼻气道狭窄对阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome，OSAHS)患者的疗效。方法 2008年2月-2010年2月，对300例OSAHS患者行鼻内镜鼻腔手术治疗，比较患者手术前后打鼾程度、嗜睡程度和鼾声评分。结果手术治疗鼻气道狭窄后患者嗜睡评分及鼾声评分平均值均小于术前，差异有统计学意义(P lt;0.05)，手术有效率88.67%，手术并发症发生率0.67%，为鼻中隔穿孔、鼻腔粘连。结论手术治疗鼻气道狭窄是治疗因鼻气道狭窄所致OSAHS的一种有效方法。
【Abstract】 Objective To explore the therapeutic effect of the surgery of narrow nasal cavity on the obstructive sleep apnea hypopnea syndrome (OSAHS). Methods A total of 300 patients with OSAHS from February 2008 to February 2010 underwent the surgery of narrow nasal cavity and the pre- and post-operative Epworth sleepiness scale and snore scale were analyzed. Results After the surgery of narrow nasal cavity, snore degree, somnolence scale and snore scale decreased compared with those before the operation (P lt;0.05). The effective rate of the surgery was 88.67% and the rate of operative complication was 0.67%. Conclusion The surgery of narrow nasal cavity is effective for the patients with OSAHS caused by narrow nasal cauity.

Citation： ZHAN Liangqin,YANG Xing,CHEN Min,LI He,WANG Qing,XIE Yan,LIU Xiaoqin. Effect of Narrow Nasal Cavity on the Obstructive Sleep Apnea Hypopnea Syndrome. West China Medical Journal, 2010, 25(10): 1813-1814. doi: Copy

1.	王立曼, 周光耀, 李春华, 等. 阻塞性睡眠呼吸暂停低通气综合征危险因素探讨[J]. 华西医学, 2009, 24(1), 46-49.
2.	Duran J, Esnaola S, Rubio R, et al. Obst ructive sleep apnea hypopnea and related clinical features in a population based sample of subjects aged 30 to 70 yr[J]. Am J Respir Crit Care Med, 2001, 163(3): 685-689.
3.	中华医学会耳鼻咽喉科学分会. 阻塞性睡眠呼吸暂停低通气综合征诊断依据和疗效评定标准暨悬雍垂腭咽成形术适应证(杭州) [J]. 中华耳鼻咽喉科杂志, 2002, 37(6): 403-404.
4.	De Vito A, Berrettini S, Carabelli A, et al. The importance of nasal resistance in obstructive sleep apnea syndrome: a study with position rhinomanometry[J]. Sleep Breath, 2001, 5(1): 3-11.
5.	钟刚, 孔维佳, 乐建新, 等. 阻塞性睡眠呼吸暂停综合征与不同体位下鼻阻力的关系[J]. 临床耳鼻咽喉科杂志, 2003, 17(6): 351-353.
6.	Soichiro M, Yoshiaki I, Kazuo I, et al. Influence of nasal obstructive sleep apnea[J]. Acta Otolaryngol, 1998, 537 (Suppl): 43-46.

1. 王立曼, 周光耀, 李春华, 等. 阻塞性睡眠呼吸暂停低通气综合征危险因素探讨[J]. 华西医学, 2009, 24(1), 46-49.
2. Duran J, Esnaola S, Rubio R, et al. Obst ructive sleep apnea hypopnea and related clinical features in a population based sample of subjects aged 30 to 70 yr[J]. Am J Respir Crit Care Med, 2001, 163(3): 685-689.
3. 中华医学会耳鼻咽喉科学分会. 阻塞性睡眠呼吸暂停低通气综合征诊断依据和疗效评定标准暨悬雍垂腭咽成形术适应证(杭州) [J]. 中华耳鼻咽喉科杂志, 2002, 37(6): 403-404.
4. De Vito A, Berrettini S, Carabelli A, et al. The importance of nasal resistance in obstructive sleep apnea syndrome: a study with position rhinomanometry[J]. Sleep Breath, 2001, 5(1): 3-11.
5. 钟刚, 孔维佳, 乐建新, 等. 阻塞性睡眠呼吸暂停综合征与不同体位下鼻阻力的关系[J]. 临床耳鼻咽喉科杂志, 2003, 17(6): 351-353.
6. Soichiro M, Yoshiaki I, Kazuo I, et al. Influence of nasal obstructive sleep apnea[J]. Acta Otolaryngol, 1998, 537 (Suppl): 43-46.

West China Medical Journal

Effect of Narrow Nasal Cavity on the Obstructive Sleep Apnea Hypopnea Syndrome

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