鼻腔扩容术对阻塞型睡眠呼吸暂停低通气综合征患者睡眠主客观症状的影响 postprint

Abstract: Objective To explore the effect of nasal dilation on the subjective and objective symptoms of sleep in patients withobstructive sleep apnea hypopnea syndrome (OSAHS), and provide clinical basis for the application of nasal cavity expansionin patients with OSAHS. Methods Fifty-six cases adult patients with OSAHS were chosen as objects. The nasal resistance，theresults of multiple sleep monitoring (PSG), the snore outcome survey (SOS), the visual analogue scale (VAS) and the epworthsleepy survey (ESS) were compared before and after nasal surgery expansion. Results After nasal dilation, the nasal resistanceand apnea hypopnea index (AHI) of OSAHS patients were decreased significantly (P<0.05).The average oxygen saturation andthe lowest oxygen saturation were increased significantly (P<0.05). Scores of SOS scale, VAS scale and ESS scale whichreflecting the sleep subjective symptoms were decreased significantly (P<0.05). Conclusion Nasal dilation has a curative effecton reducing nasal resistance and alleviating the severity of obstructive sleep apnea in OSAHS patients.It improves sleepsubjective symptoms such as sleep snoring nasal blockage and daytime sleepiness. It is significant in the treatment of patientswith OSAHS.