阻塞性睡眠呼吸暂停和CPAP使用对慢性鼻炎患者的负担
Connor Hunt1, Amani Kais2, Hassan H Ramadan2
1School of Medicine, West Virginia University, Morgantown, WV, United States.
American journal of otolaryngology
|July 26, 2024
概括
阻塞性睡眠呼吸暂停 (OSA) 显著恶化慢性鼻炎 (CRS) 患者的生活质量,特别是影响睡眠和心理健康. 在CRS中,OSA是影响疾病特异性生活质量的独立因素.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 肺部病理学 肺部病理学
背景情况:
- 慢性鼻炎 (CRS) 是一种普遍影响鼻生活质量的疾病.
- 阻塞性睡眠呼吸暂停 (OSA) 是一种常见的并发症,具有潜在的全身影响.
- 需要进一步阐明CRS和OSA对患者结果的相互作用.
研究的目的:
- 调查慢性鼻炎 (CRS) 诊断的成年患者的阻塞性睡眠呼吸暂停 (OSA) 和疾病特异性生活质 (QoL) 之间的关联.
主要方法:
- 追溯队列研究,包括513名成人CRS患者 (2020-2023年).
- OSA诊断通过多睡眠学证实.
- 收集的数据包括患者人口统计,呼吸暂停-呼吸暂停指数,并发症,内镜检查和中鼻结局测试-22 (SNOT-22) 评分.
主要成果:
- 127名CRS患者患有OSA;386人没有.
- 患有OSA的CRS患者年龄较大,BMI较高,而且更有可能是男性,喘和COPD的发病率更高.
- 较差的SNOT-22分数,由睡眠和心理领域驱动,与其他因素独立的OSA存在有显著的关联.
结论:
- 阻塞性睡眠呼吸暂停 (OSA) 是慢性鼻炎 (CRS) 患者疾病特异性生活质量的独立负面预测因素.
- 持续的正气道压力 (CPAP) 疗法似乎没有影响OSA的CRS队列中的QoL.
- 需要进一步的研究来了解OSA对CRS医疗和手术治疗结果的影响.
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