摘要
目的 探讨鼻部因素与阻塞性睡眠呼吸暂停 低通气综合征 (OSAHS)中嗜睡和打鼾症状的相关性。方法 对 2 1例OSAHS合并鼻塞的患者行鼻内镜手术 ,对患者术前、术后嗜睡评分和鼾声做比较。结果 2 1例多导睡眠监测显示呼吸暂停 低通气指数为 (2 0 .6 3± 1 6 .5 2 )次 /h。术前嗜睡评分为 (7.2 5± 3.4 5 )分 ,术后嗜睡评分为(2 .33± 2 .6 3)分 ,术前、术后嗜睡评分有显著性差异 ,P <0 .0 1 ;术前鼾声分级为 (3.0± 0 .8)级 ,术后鼾声分级为 (1 .38± 0 .86 )级 ,术前、术后鼾声分级有显著性差异 ,P <0 .0 1。结论 嗜睡和打鼾与鼻腔因素有关 。
Objective To observe the initial effect of narrow nasal cavity on the most common symptoms of obstructive sleep apnea hypopnea syndrome sleepness and snore.Methods To compare epworth sleepness scale (ESS) and snore scale of 21 patients before and after intranasal endoscopic surgery (submucous resection of the nasal septum and/or sinus surgery).Results The apnea and hypopnea index (AHI) was 20.63±16.52(5.0～52.0). ESS was 7.25±3.45(3.0～14.0) and 2.33±2.63(0.0～8.0) before and after operation.The statistic difference was significant ( P <0.01).Snore scale was 3.0±0.8(1.0～4.0) and 1.38±0.86(0.0～3.0) before and after operation,the difference was significant too.Conclusions Nasal obstruction is related to sleepness and snore.Sleepness and snore can be relieved or lessened by nasal operation in some patients.
出处
《北京医学》
CAS
北大核心
2004年第2期106-108,共3页
Beijing Medical Journal
