男性重度阻塞性睡眠呼吸暂停低通气综合征患者上气道与鼻阻力的关系

摘要

Objective To explor the correlation between acoustic rhinometry,rhinomanometry and severe OSAHS. Methods 105 patinents were divided into 3 groups: group A was 30 normol adult men, group B was 28 non obses patinents with OSAHS(BMI<28), group C was 57 obses patinents with OSAHS(BMI≥28), acquire parameters of acoustic rhinometry and rhinomanometry and mallampati score, compare relevant parameters, analyse correlation with PSG. Results Nasal resistence were significantly higher in the group C compare to the group A and group B, a significant correlation was found between Trins, Trexp and apnea hypopnea index(r=0.423, 0.425, P<0.05). Conclusion This was fundamental difference between mallampati score of severe OSAHS and normol adult men. There were accentated level of sleep apnea of obesity, narrow airway and acoustic rhinometry.%目的探讨男性重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者上气道与鼻阻力的关系。方法30例正常成年男性(除外耳鼻咽喉疾病)为A组，75例OSAHS患者分为B组(BMI<28)和C组(BMI≥28)，测量并比较鼻阻力和鼻声发射的各项参数，并与PSG结果进行相关性分析。结果正常人的舌位与重度OSAHS患者舌位不同，重度OSAHS患者的鼻阻力与正常人不同，其中肥胖组重度OSAHS患者的鼻阻力最高。舌位较高的鼻阻力高，C组的鼻阻力与呼吸暂停低通气指数(AHI)呈正相关(r=0.423、0.425，P<0.05)。结论重度OSAHS患者舌位与正常人不同，上呼吸道狭窄和鼻阻力增高、肥胖相互作用加重睡眠呼吸暂停程度。