The Effect of nasal packing on sleep‐disordered breathing and nocturnal oxygen desaturation.
The Effect of nasal packing on sleep‐disordered breathing and nocturnal oxygen desaturation.
复制标题
鼻填塞对睡眠呼吸障碍和夜间氧饱和度降低的影响。
DOI：
10.1288/00005537-198107000-00015
复制
发表时间：
1981
期刊：
影响因子：
--
通讯作者：
A. Block
中科院分区：
文献类型：
--
作者：
Vicente Taasan;J. Wynne;Nicholas Cassisi;A. Block
众所周知，鼻塞会导致婴儿睡眠期间的异常通气，但其对成人睡眠期间呼吸和氧合的影响尚不清楚。然而，在成人中，鼻腔填塞造成的鼻腔阻塞已被证明会导致缺氧，有时还会导致高碳酸血症和猝死。我们研究了7例鼻息肉切除术或鼻中隔成形术后进行鼻腔填塞的患者在睡眠期间的通气模式和氧合水平。使用标准的多导睡眠描记技术，我们监测胸壁运动，鼻腔和口腔气流，动脉血氧饱和度和睡眠阶段。鼻腔填塞导致或加重了所有患者的睡眠呼吸障碍，并显著增加了整个组的发作次数、持续时间和频率。一些患者还出现了夜间氧饱和度下降的次数和严重程度大大增加。这项研究表明，在成人睡眠期间，填塞物阻塞鼻子会导致呼吸发生明显变化。
Nasal obstruction is known to cause abnormal ventilation during sleep in infants, but its effects on breathing and oxygenation during sleep in adults are unknown. However, in adults, obstruction of the nose by nasal packing has been shown to cause hypoxia, and on occasion, hypercarbia and sudden death. We have investigated the pattern of ventilation and the level of oxygenation during sleep in seven patients who had nasal packs after nasal polypectomy or septoplasty. Using standard polysomnographic techniques, we monitored chest wall motion, nasal and oral airflow, and arterial oxygen saturation and sleep stages. Nasal packing either caused or worsened sleep‐disordered breathing in all patients and significantly increased the number, duration, and frequency of episodes for the group as a whole. Several patients also had a greatly increased number and severity of episodes of nocturnal oxygen desaturation. This study shows that obstruction of the nose by packing causes marked alterations in breathing during sleep in adults.