Observation of nasal obstruction symptom evaluation questionnaire and Epworth sleep score in nasal cavity ventilation expansion techniques for patients with obstructive sleep apnea hypopnea
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摘要: 目的: 探讨鼻阻塞症状评估量表(NOSE)联合Epworth嗜睡评估表(ESS)在鼻腔扩容术治疗OSAHS的应用。方法: 观察42例存在鼻阻塞的OSAHS并且行鼻腔扩容术的患者,所有患者于术前行PSG监测,术前及术后3个月进行NOSE与ESS评分,所有患者接受鼻腔扩容术。比较术前、术后评分差异,采用SPSS 18.0软件进行数据分析。结果: 42例患者按照轻、中、重分度,行鼻腔扩容术后较术前评分差异有统计学意义(P<0.05);3组之间差异无统计学意义(P>0.05)。结论: NOSE评分联合ESS反映鼻腔扩容术后,OSAHS患者鼻腔阻塞、白天嗜睡等主观症状有明显改善。
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关键词:
- 鼻阻塞症状评估量表 /
- Epworth嗜睡评估表 /
- 睡眠呼吸暂停综合征 /
- 阻塞性 /
- 鼻手术
Abstract: Objective: To realize the application of nasal obstruction symptom evaluation (NOSE) and Epworth sleep score (ESS) before and after nasal cavity ventilation expansion techniques.Method: Forty-two OSAHS patients with nasal obstructive symptoms were diagnosed by clinical symptoms and polysomnography. Nasal cavity ventilation expansion technique was performed. Before and after the surgery, the NOSE and ESS were used to compare the difference. Postoperative data were obtained at least 3 months later.Result: Compared the data before and after operation, the NOSE and ESS were significantly decreased respectively (P<0.05), there is no significant difference between 3 groups (P>0.05).Conclusion: The result suggest that OSAHS patients taking nasal cavity ventilation expansion operations showed improvement in severity of nasal obstructive symptoms and daily sleepy. -
[1] 中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉头颈外科学分会咽喉学组.阻塞性睡眠呼吸暂停低通气综合征诊断和外科治疗指南[J].中华耳鼻咽喉头颈外科杂志,2009,44(2):95-96.
[2] MCNICHOLAS W T.The nose and OSA:variable nasal obstruction may be more important in pathophysiology than fixed obstruction[J].Eur Respir J,2008,32:3-8.
[3] STEWART M G,WITSELL D L,SMITH T L,et al.Development and validation of the Nasal Obstruction Symptom Evaluation(NOSE)scale[J].Otolaryngol Head Neck Surg,2004,130:157-63.
[4] SMITH S S,OEI T P,DOUGLAS J A,et al.Confirmatory factor analysis of the Epworth Sleepiness Scale in patients with obstructive sleep apnoea[J].Sleep Med,2008,9:739-744.
[5] 李延忠.阻塞性睡眠呼吸暂停低通气综合征的多平面手术治疗[J].临床耳鼻咽喉科杂志,2006,20(21):961-962.
[6] 谭志强,李云秋,周建波,等.重度阻塞性睡眠呼吸暂停低通气综合征行改良悬雍垂腭咽成形术的围术期处理[J].中国耳鼻咽喉颅底外科杂志,2013,14(4):306-309,313.
[7] SERIES F,ST PS,CARRIER G.Effects of surgical correction of nasal obstruction in the treatment of obstructive sleep apnea[J].Am Rev Respir Dis,1992,146:1261-1265.
[8] FRIEDMAN M,TANYERI H,LIM J W,et al.Effect of improved nasal breathing on obstructive sleep apnea[J].Otolaryngol Head Neck Surg,2000,122:71-74.
[9] 董栋,赵玉林,MICHAEL G S,等.鼻阻塞症状评估(NOSE)量表中文版的研制[J].中华耳鼻咽喉头颈外科杂志,2014,49(1):20-26.
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