手術對鼻中膈彎曲病患睡眠之影響

Effect of Nasal Surgery on Sleep Improvement in Patients with Nasal Septum Deviation

鼻中膈彎曲病患因鼻部症狀影響，使得睡眠品質變差，手術是改善鼻中膈彎曲症狀的方法之一。本研究目即為探討鼻中膈彎曲病患在手術前後睡眠品質、嗜睡及失眠之嚴重程度。採橫斷式研究設計，共收案110位病患。採用匹茲堡睡眠品質量表、嗜睡量表及阿森斯失眠量表分別測量睡眠品質、嗜睡及失眠。研究結果發現鼻中膈彎曲病患睡眠品質差，平均分數為7.26±3.54（0–21）且呈現失眠狀況平均分數為7.55±4.70（0–24），嗜睡問題平均分數為8.95±4.24（0–24）。鼻中膈彎曲病患手術前後失眠程度、睡眠品質、嗜睡皆有顯著改善，達到統計顯著差異。鼻中膈彎曲病患經歷失眠及睡眠品質，故研究建議鼻中膈彎曲個案可以手術方式改善鼻中膈患者症狀，將可較佳的睡眠品質、減輕嗜睡及改善失眠。

Nasal septum deviation (NSD) can result in sleep disorders. One of the strategies to treat the problem is to perform a nasal operation. The purpose of the present study was to determine and compare NSD patients’ sleep quality and experiences of sleepiness and insomnia before and after surgery. This study was a cross-sectional research design. We recruited and interviewed 110 NSD patients for this study. The Pittsburgh Sleep Quality Index (PSQI), the Epworth Sleepiness Scale (ESS), and the Athens Insomnia Scale (AIS) were used to measure sleep quality, sleepiness, and insomnia, respectively. The results demonstrated that the NSD patients had poor sleep quality and that the average PSQI score was 7.26±3.54 (0– 21) before the operation. The patients also experienced insomnia, with an average AIS score of 7.55±4.70 (0– 24). The mean ESS score, on the other hand, was 8.92±4.24 (0– 24). The NSD patients showed significantly improved sleep quality and reduced sleepiness and insomnia after a nasal operation. NSD patients experience poor sleep quality, and insomnia. The results suggest that nasal surgery can improve NSD symptoms that interfere with sleeping, thus helping patients get more quality sleep and reducing their sleepiness and improving insomnia.