鼻腔扩容术对OSAHS多平面阻塞治疗的主观和客观临床疗效观察

发布时间：2018-06-17 17:38

本文选题：鼻声反射 + 鼻阻力　；参考：《临床耳鼻咽喉头颈外科杂志》2017年06期

【摘要】：目的:研究鼻腔扩容术对多平面阻塞OSAHS患者主观与客观鼻腔通气状况及AHI、LSaO_2的改善情况。方法:对PSG监测确诊为OSAHS且经多种临床检查方式判断同时存在鼻咽平面及口咽平面阻塞而无喉咽平面阻塞的41例患者行鼻腔扩容手术治疗,所有多平面阻塞OSAHS患者术前行鼻声反射、鼻阻力检查评估患者客观鼻腔通气状况,并结合鼻阻塞症状评估(NOSE)量表评估其鼻塞严重程度。术后3个月再次行鼻声反射、鼻阻力检查及NOSE量表评估其鼻腔通气功能的改善情况,并行PSG监测评估OSAHS患者AHI、LSaO_2的术前及术后变化情况。结果:①鼻声反射、鼻阻力检查显示0~5cm的鼻腔容积(UV5)较术前变化明显(P0.05),鼻阻力(NR)与NOSE评分较术前明显下降(P0.05);②多平面阻塞OSAHS患者术后AHI较术前明显降低(P0.05),LSaO_2较术前明显升高(P0.05)。结论:①鼻腔扩容术能够有效改善多平面阻塞OSAHS患者的主观及客观鼻腔通气状况,且二者变化具有一致性;②鼻腔扩容术后多平面阻塞OSAHS患者的AHI明显降低,且能够从源头性因素逐步改善其低氧血症的程度,有助于后续治疗的安全、有效进行。
[Abstract]:Objective: to study the improvement of subjective and objective nasal ventilation and AHILSaO2 in patients with multiplanar obstructive OSAHS by nasal cavity dilatation. Methods: 41 patients with OSAHS diagnosed by PSG who were diagnosed as OSAHS by different clinical examination methods were treated with nasal cavity dilatation. Nasal acoustic reflex was performed in all patients with multiplanar obstructive OSAHS before operation. Nasal resistance examination was used to evaluate the objective nasal ventilation status and the severity of nasal congestion was evaluated with the nasal obstruction symptom Evaluation scale (NOSEE). The improvement of nasal ventilation function was evaluated by nasal acoustic reflex, nasal resistance test and nose scale 3 months after operation, and the changes of AHISAHS LSaO2 were evaluated by PSG monitoring before and after operation. Results the volume of nasal cavity (UV5) of 0~5cm was significantly higher than that of preoperation (P 0.05), and the scores of nasal resistance (NRV) and nose were significantly lower than those before operation (P 0.05) and the scores of nose were significantly lower in patients with multiplanar obstructive OSAHS after operation than in patients with multiplanar obstructive OSAHS before operation (P 0.05) and LSaO 2 was significantly higher than that in patients with OSAHS before and after operation (P 0. 05%, P 0. 05%, P 0. 05%, P 0. 05%, P 0. 05). ConclusionTwo one nasal cavity dilatation can effectively improve the subjective and objective nasal ventilation in patients with multiplanar obstructive OSAHS, and the change of AHI in patients with multiplanar obstructive OSAHS after nasal cavity dilatation is consistent with that in patients with multiplanar obstructive OSAHS after nasal cavity dilatation. And can gradually improve the degree of hypoxemia from the source factors, which is helpful for the safe and effective treatment.
【作者单位】：北京大学第四临床医学院(北京积水潭医院)耳鼻咽喉科;
【分类号】：R766.9

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