鼻声反射及鼻阻力测量在鼻腔扩容术治疗鼻腔结构异常OSAHS患者鼻功能评估中的应用
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湖南旺旺医院 耳鼻咽喉头颈外科

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湖南省自然科学基金(S2018JJKWLH0064)


Application of acoustic rhinometry and rhinomanometry in evaluation of nasal function in OSAHS patients with abnormal nasal structures treated by nasal cavity ventilation expansion techniques
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Hunan Want Want Hospital

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    摘要:

    目的 探讨鼻腔扩容手术前后行鼻声反射测量在伴有结构异常阻塞性睡眠呼吸暂停低通气综合征患者鼻功能评估中的应用。方法 选择从收治的经多导睡眠监测确诊且经视觉模拟量表评估具有鼻塞、鼻内镜及鼻窦CT检查证实结构异常的成年患者36例作为研究对象。根据检查结果实施个体化的鼻内镜下腔扩容手术。所有患者术前及术后6个月均进行视觉模拟量表评估、鼻声反射测量和鼻阻力测量,比较手术前后测量结果。结果 患者术前视觉模拟量表评估计分、鼻腔吸气总阻力、鼻腔呼气总阻力、鼻腔最小横截面积、鼻腔容积、最小横截面积至前鼻孔的距离分别为6.97±1.27、(2.07±1.07)kPa/L.S-1、(2.15±1.09)kPa/L.S-1、(0.39±0.16)cm2、(2.20±0.97)cm3及(1.97±0.47)cm;术后6个月分别为1.33±0.92、(1.69±1.03)kPa/L.S-1、(1.90±1.02)kPa/L.S-1、(0.51±0.17)cm2、(2.73±1.05)cm3及(2.19±0.46)cm。手术前后各指标差异均有统计学意义(P<0.05或P<0.01)。结论 鼻腔扩容术可以显著改善伴有鼻腔结构异常阻塞性睡眠呼吸暂停低通气综合征患者鼻通气功能,鼻声反射和鼻阻力测量能客观评估鼻腔扩容手术治疗这类患者鼻通气功能的变化。

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    Objective To study the applications of acoustic rhinometry and rhinomanometry in evaluation of nasal function in obstructive sleep apnea-hypopnea syndrome (OSAHS) patients with abnormal nasal structures treated by nasal cavity ventilation expansion techniques. Methods Thirty-six adult patients suffering from polysomnography (PSG)-confirmed OSAHS combined with nasal obstruction and abnormal nasal structures were included. Endoscopic nasal cavity ventilation expansion techniques were performed individually in all the patients. Before surgery and 6 months after surgery, they all filled visual analogue scale (VAS) and took the examinations of acoustic rhinometry and rhinomanometry.Results Before surgery, the average VAS, total inspiratory resistance (TRi), total expiratory resistance (TRe), minimal cross-sectional area (MCA), nasal volume (NV) and the distance between the nostril and minimal cross-sectional area (DM) were 6.97±1.27,(2.07±1.07)kPa/ L.S-1,(2.15±1.09)kPa/ L.S-1,(0.39±0.16)cm2,(2.20±0.97)cm3 and (1.97±0.47) cm, respectively. And those 6 months after surgery were 1.33±0.92,(1.69±1.03)kPa/ L.S -1,(1.90±1.02)kPa/ L.S-1,(0.51±0.17)cm2,(2.73±1.05)cm3 and (2.19±0.46) cm. The differences between pre- and postoperative data of above-mentioned indexes were all statistically significant(P<0.05 or P<0.01). Conclusion Endoscopic nasal cavity ventilation expansion techniques can significantly improve the subjective and objective nasal ventilation functions in OSAHS patients with abnormal nasal structures. Acoustic rhinometry and rhinomanometry may objectively evaluate the changes of nasal function in these patients managed with endoscopic nasal cavity ventilation expansion techniques.

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  • 收稿日期:2021-11-15
  • 最后修改日期:2021-11-15
  • 录用日期:2021-11-18
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