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阻塞性睡眠呼吸暂停综合征患者鼻阻力变化
引用本文:曹洁,陈宝元,朱宝玉. 阻塞性睡眠呼吸暂停综合征患者鼻阻力变化[J]. 中华结核和呼吸杂志, 2000, 23(12): 725-726
作者姓名:曹洁  陈宝元  朱宝玉
作者单位:天津医科大学总医院呼吸科!300052
摘    要:目的探讨阻塞性睡眠呼吸暂停综合征(OSAS)患者鼻阻力的变化在睡眠呼吸暂停发病机制中的作用。方法对30名正常人、30例鼾症、60例OSAS患者在进行多导睡眠监测的基础上,行鼻阻力检测。结果轻、中度OSAS组鼻阻力为(1.06±4.25)Pas/ml,重度OSAS组鼻阻力为(2.29±9.74)Pa·s/ml,鼾症组鼻阻力为(0.71±0.31)Pa·s/ml,均明显高于正常对照组(0.40± 0.13)Pa· s/ml(P<0.01),鼻阻力与鼾声指数呈正相关(r=0.258,P<0.01),但鼻阻力与睡眠呼吸紊乱指数(AHI)、醒觉次数、最低血氧均无相关关系。结论鼾症、OSAS患者鼻阻力增加,可能与OSAS的发病有关。

关 键 词:阻塞性睡眠呼吸暂停综合征 鼻阻力 发病机制

The variation of nasal obstruction in patients with OSAS
CAO Jie,CHEN Baoyuan,ZHU Baoyu,et al.. The variation of nasal obstruction in patients with OSAS[J]. Chinese journal of tuberculosis and respiratory diseases, 2000, 23(12): 725-726
Authors:CAO Jie  CHEN Baoyuan  ZHU Baoyu  et al.
Affiliation:Department of Respiratory, General Hospital of Tianjin Medical University, Tianjin 300052, China.
Abstract:OBJECTIVE: To study the variation of nasal resistance and its possible relationship to obstructive sleep apnea. METHODS: The detection of nasal resistance and polysomnography were performed in 30 normal subjects, 30 snoring patients and 60 patients with OSAS. RESULTS: The study reveal that nasal resistance of the patients with OSAS (1.06 +/- 4.25) Pa.s/ml, (2.29 +/- 9.74) Pa.s/ml or snoring (0.71 +/- 0.31) Pa.s/ml was higher than that of normal group (0.40 +/- 0.13) Pa.s/ml (P < 0.01). There was a positive correlation between nasal resistance and snoring index (r = 0.258, P < 0.01), but there was no correlation among AHI, waken intervals, and nasal resistance. CONCLUSION: Nasal resistance increased in the patients with snoring or OSAS, it may be a factor related with OSAS.
Keywords:OSAS  Nasal resistan4
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