鼻声反射在行鼻腔扩容术OSAHS患者鼻功能评估中的应用

陆汉强; 蒋华平; 黄秋生

doi:10.13201/j.issn.1001-1781.2016.01.016

鼻声反射在行鼻腔扩容术OSAHS患者鼻功能评估中的应用

- 江苏大学附属医院耳鼻咽喉科(江苏镇江, 212001)
基金项目:
镇江市科技局(No:2001-010)

详细信息

通讯作者: 黄秋生,E-mail:jdfyent@163.com

中图分类号: R563.8

收稿日期: 2015-10-09

The evaluation of nasal ventilatioan in patients with obstructive sleep apnea-hypopnea syndrome after nasal cavity ventilation expansion techniques by using acoustic rhinometry

- Department of Otorhinolaryngology, the Affiliated Hospital of Jiangsu University, Zhenjiang, 212001, China

More Information

Corresponding author: HUANG Qiusheng, E-mail: jdfyent@163.com

Received Date: 09 October 2015

摘要

摘要: 目的:探讨鼻声反射以及鼻阻力测量在评定OSAHS患者术前、术后鼻腔狭窄和阻力方面的应用。方法:应用鼻声反射仪对经PSG测量确诊的38例轻度OSAHS患者、17例中度OSAHS患者在行鼻腔扩容术前以及术后6个月测量鼻腔容积(NCV)、鼻阻力(NR)、鼻腔最小横截面积(NMCA)及最小横截面距前鼻孔距离(DCAN),并进行统计学分析。结果:轻度OSAHS患者术前NCV、NMCA、NR分别为(2.41±1.33)cm³、(0.37±0.39)cm²、(2.07±1.48)cmH₂O/(L·min);术后6个月分别为(2.53±1.54)cm³、(0.45±0.34)cm²、(1.69±1.03)cmH₂O/(L·min),均差异有统计学意义(P<0.05);中度OSAHS患者术前NCV、NMCA、NR分别为(2.03±1.54)cm³、(0.29±0.39)cm²、(3.47±2.56)cmH₂O/(L·min),术后6个月分别为(2.31±1.47)cm³、(0.39±0.33)cm²、(1.89±1.03)cmH₂O/(L·min),均差异有统计学意义(P<0.05);轻、中度OSAHS患者术前以及术后DCAN相比差异无统计学意义(P>0.05)。结论:鼻声反射能客观评估行鼻腔扩容手术的OSAHS患者的鼻腔功能。
- 鼻声反射 /
- 鼻阻力 /
- 睡眠呼吸暂停低通气综合征 /
- 阻塞性 /
- 鼻腔扩容术
Abstract: Objective:To evaluate nasal ventilation in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) after nasal cavity ventilation expansion techniques by using acoustic rhinometry.Method:Thirty-eight patients with mild OSAHS and 17 patients with moderate OSAHS who were diagnosis by PSG were selected. The acoustic rhinometry and rhinomanometry were used to assess the nasal cavity volumes (NCV), nasal airway resistance (NR), nasal minimal cross-section area (NMCA) and distance of nasal minimal cross-section area from nostril (DCAN) before and after the surgery (6 month later). Result:The state of mild OSAHS group in NCV,NMCA and NR:before surgery (2.41±1.33) cm³,(0.37±0.39)cm²,(2.07±1.48) cmH₂O/(L·min),after surgery (2.53±1.54)cm³,(0.45±0.34)cm²,(1.69±1.03)cmH₂O/(L·min), has significant difference (P<0.05). The state of moderate OSAHS group in NCV,NMCA and NR:before surgery (2.03±1.54)cm³,(0.29±0.39)cm²,(3.47±2.56)cmH₂O/(L·min),after surgery(2.31±1.47)cm³,(0.39±0.33)cm²,(1.89±1.03)cmH₂O/(L·min), also has significant difference (P<0.05), while DCAN in two group had no difference(P>0.05). Conclusion:There was an objective evaluation of nasal ventilation in OSAHS patients after surgery by using acoustic rhinometry.
- acoustic /
- rhinometry rhinomanometry /
- sleep apnea-hypopnea syndrome /
- obstructive /
- nasal cavity ventilation expansion techniques

HTML全文

参考文献(8)

[1]	韩德民,臧洪瑞.鼻腔扩容技术[J].中国医学文摘·耳鼻咽喉科学,2009,27(4):197-198.
[2]	TARHAN E,COSKUN M,CAKMAK O,et al.Acoustic rhinometry in human:accuracy of nasal passage area estimates,and ability to quantify paranasal sinus volume and ostium size[J].J Appl Physiol,2005,99:616-623.
[3]	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.
[4]	陈曦,宋建涛,陈东兰.重度阻塞性睡眠呼吸暂停低通气综合征患者鼻通气状态的客观评估[J].临床耳鼻咽喉头颈外科杂志,2011,25(9):780-782.
[5]	MORGENSTERN C,SCHWAIBOLD M,RANDERATH W,et al.Comparison of upper airway respiratory resistance measurements with the esophageal pressure/airflow relationship during sleep[J].Conf Proc IEEE Eng Med Biol Soc,2011,3:205-208.
[6]	ZHANG G,SOLOMON P,RIVAL R,et al.Nasal airway volume and resistance to airflow[J].Am J Rhinol,2008,22:371-375.
[7]	VERSE T,PIRSIG W.Impact of impaired nasal breathing on sleep disordered breathing[J].Sleep Breath,2003,7:63-76.
[8]	KOHLER M,BLOCH K E,STRADLING J R.The role of the nose in the pathogenesis of obstructive sleep apnoea and snoring[J].Eur Respir J,2007,30:1208-1215.