Sinonasal outcomes in obstructive sleep apnea syndrome
Sinonasal outcomes in obstructive sleep apnea syndrome
复制标题
DOI：
10.1002/lary.25411
复制
发表时间：
2015-11-01
期刊：
影响因子：
2.6
通讯作者：
Wang, Marilene B.
中科院分区：
文献类型：
--
作者：
Kuan, Edward C.;Tajudeen, Bobby A.;Wang, Marilene B.
阻塞性睡眠呼吸暂停综合征（OSAS）是一种常见的成人和儿童睡眠障碍，如果不及时治疗，会导致严重的医疗后果。耳鼻喉科医生经常受到OSAS对鼻窦症状的影响以及原发性鼻部疾病对OSAS加重的影响的挑战。本研究的目的是探讨患者之间的关系与已知的OSAS和生活质量的结果，通过测量22-IEM鼻中结果测试（SNOT-22）问卷scores.Study DesignRetrospective图表review.MethodsPatients与多导睡眠图诊断OSAS完成SNOT-22问卷。SNOT-22问卷项目被细分为神经病学、非神经病学耳鼻喉科、睡眠和心理症状。总的，个人，和亚分类SNOT-22评分与呼吸暂停低通气指数（AHI），体重指数（BMI），最低氧饱和度，睡眠效率使用斯皮尔曼等级correlations.ResultsA共30个连续的OSAS患者被纳入分析。BMI与非神经病学耳鼻喉科症状（P= 0.03），特别是耳闷（P= 0.02）和面部疼痛/压力（P= 0.04）呈正相关。AHI与鼻后滴漏呈负相关（P= 0.02）。最低血氧饱和度与生产力降低相关（P=.03）。睡眠效率与入睡困难（P= 0.03）和挫折感（P= 0.01）呈负相关，与整体睡眠症状（P= 0.08）显著相关的趋势。因此，耳鼻喉科医生应该采用综合方法来治疗OSAS患者，特别注意鼻窦因素。
Objectives/HypothesisObstructive sleep apnea syndrome (OSAS) is a common adult and pediatric sleep disorder, which, if left untreated, is associated with severe medical consequences. Otolaryngologists are often challenged by the impact of OSAS on sinonasal symptoms, as well as by the contribution of primary nasal disorders to exacerbation of OSAS. The objectives of this study are to explore the relationship between patients with known OSAS and quality-of-life outcomes as measured by 22-iem Sino-Nasal Outcome Test (SNOT-22) questionnaire scores.Study DesignRetrospective chart review.MethodsPatients with a polysomnographic diagnosis of OSAS completed SNOT-22 questionnaires. SNOT-22 questionnaire items were subcategorized into rhinologic, nonrhinologic otolaryngic, sleep, and psychological symptoms. Total, individual, and subcategorized SNOT-22 scores were correlated with apnea-hypopnea index (AHI), body mass index (BMI), lowest oxygen desaturation, and sleep efficiency using Spearman rank correlation.ResultsA total of 30 consecutive OSAS patients were included in the analysis. BMI was positively correlated with nonrhinologic otolaryngic symptoms (P=.03), specifically ear fullness (P=.02) and facial pain/pressure (P=.04). AHI was negatively correlated with postnasal drip (P=.02). Lowest oxygen saturation was correlated with reduced productivity (P=.03). Sleep efficiency was negatively correlated with difficulty falling asleep (P=.03) and feelings of frustration (P=.01), with a trend toward significant correlation with overall sleep symptoms (P=.08).ConclusionsSeveral sinonasal complaints appear to be correlated with OSAS severity. As such, otolaryngologists should utilize a comprehensive approach to the care of the OSAS patient, with special attention to sinonasal factors.