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阻塞性睡眠呼吸暂停低通气综合征患者的鼻阻力及nCPAP治疗后的影响

任莹莹 苏小芬 张挪富

实用医学杂志Issue(24):3896-3899,4.
实用医学杂志Issue(24):3896-3899,4.DOI:10.3969/j.issn.1006-5725.2014.24.006

阻塞性睡眠呼吸暂停低通气综合征患者的鼻阻力及nCPAP治疗后的影响

Nasal resistance in patients with obstructive sleep apnea hypopnea syndrome and the effect of nCPAP

任莹莹 1苏小芬 2张挪富2

作者信息

  • 1. 510120 广州医科大学附属一第医院,呼吸疾病国家重点实验室,广州呼吸疾病研究所耳鼻喉科
  • 2. 510120 广州医科大学附属一第医院,呼吸疾病国家重点实验室,广州呼吸疾病研究所呼吸内科
  • 折叠

摘要

Abstract

Objective To observe nasal resistance in healthy adult people and patients with obstructive sleep apnea hypopnea syndrome (OSAHS), comparing the changes in nasal resistance after nCPAP treatment, and to explore the role of nasal resistance in development of OSAHS and the effect of nCPAP on nasal resistance. Methods Detection of nasal resistance was performed in 11 healthy people and 40 patients with OSAHS after completion of polysomnography (PSG). Three weeks after treatment with nCPAP, the patients received polysomnography and detection of nasal resistance again. Results Nasal resistance was higher in patients with OSAHS than healthy people [(0.27 ± 0.9)Pa/(cm3·s) vs. (0.21 ± 0.7)Pa/(cm3·s), t=-2.048, and P<0.05];nasal resistance was not related with age, BMI, neck circumference, waistline, AHI, MinSO2, and ODI (P>0.05). MinSO2, AHI and ODI were markedly improved three weeks after nCPAP therapy (P<0.05). Nasal resistance was increased from (0.27 ± 0.1) Pa/(cm3·s) to (0.43 ± 0.3)Pa/(cm3·s) after treatment (t = -2.733, P < 0.05). Conclusions Increased nasal resistance is one of risk factors for pathogenesis of OSAHS. Nasal resistance is not related with the severity of OSAHS. nCPAP can lead to an elevation in nasal resistance.

关键词

阻塞性睡眠呼吸暂停低通气综合征/持续气道内正压通气/鼻阻力

Key words

Obstructive sleep apnea hypopnea syndrome/nCPAP/Nasal resistance

引用本文复制引用

任莹莹,苏小芬,张挪富..阻塞性睡眠呼吸暂停低通气综合征患者的鼻阻力及nCPAP治疗后的影响[J].实用医学杂志,2014,(24):3896-3899,4.

基金项目

广东省高等学校科技创新团队项目 ()

实用医学杂志

OA北大核心CSTPCD

1006-5725

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