Oturur ve sırtüstü pozisyonda pasif rinomanometri ölçümleri ve tıkayıcı uyku apne sendromu ile ilişkisi
Amaç: Bu çalışmada oturur ve sırtüstü pozisyonda pasif rinomanometri ölçümleri ile tıkayıcı uyku apne sendromu arasındaki muhtemel ilişki araştırıldı.Hastalar ve Yöntemler: Ocak 2011 - Aralık 2013 tarihleri arasında 88 erkek hastaya ort. yaş 46.8 yıl; dağılım 18-79 yıl öykü, fizik muayene ve fiberoptik muayeneyi takiben oturur ve sırtüstü pozisyonda pasif rinomanometri uygulandı. Her hastanın burnuna silikon bir nazal maske aracılığı ile 1.5 lt/sn hava akımı verildi. Bu sırada oluşan akım ve basınç değerleri ölçüldü.Bulgular: Direnç değerleri ve apne hipopne indeksi AHİ skorları ile polisomnografi ve fizik muayene parametreleri arasında ilişki bulunmadı p>0.05 . Diferansiyel direnç ile AHİ r=0.325, p
Anahtar Kelimeler:
Tıkayıcı uyku apnesi, pasif rinomanometri, retropalatal segment direnci
The relationship between passive rhinomanometry measurements in sitting and supine position and obstructive sleep apnea syndrome
Objectives: This study aims to investigate the possible relationship between passive rhinomanometry measurements in sitting and supine position and obstructive sleep apnea syndrome. Patients and Methods: Between January 2011 and December 2013, 88 male patients mean age 46.8 years; range 18 to 79 years underwent passive rhinomanometry in sitting and supine position following history, physical examination and fiberoptic endoscopic examination. 1.5 lt/sn air flow was pumped into the nose of each patient via a silicone nasal mask. Meanwhile, flow and pressure values were measured. Results: There was no correlation between the resistance values and apnea hypopnea index AHI scores and polysomnography and physical examination parameters p>0.05 . The differential resistance was correlated with AHI r=0.325, p<0.05 , body mass index r=0.324, p<0.05 , neck circumference r=0.421, p<0.01 , waist circumference r=0.444, p<0.01 , modified Mallampati score r=0.356, p<0.05 , and retropalatal grade r=0.438, p<0.01 . Conclusion: The correlation between the differential resistance and physical examination parameters and AHI scores support the hypothesis that position-related retropalatal segment alterations can be measured by passive rhinomanometry while awake.
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- ISSN: 2602-4837
- Yayın Aralığı: Yılda 4 Sayı
- Başlangıç: 1991
- Yayıncı: İstanbul Üniversitesi
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