耳鼻咽喉科・頭頸部外科80巻8号

2008年07月発行

Current Article

鼻閉による睡眠呼吸障害とQOL低下

著者： 鈴木秀明¹ 宇高毅¹ 平木信明¹ 森貴稔¹ 橋田光一¹ 寳地信介¹ 北村拓朗¹

所属機関： ¹産業医科大学医学部耳鼻咽喉科

ページ範囲：P.513 - P.518

文献概要

Ⅰ　はじめに

　鼻閉は非常に頻度の高い上気道症状であり，急性鼻副鼻腔炎，アレルギー性・非アレルギー性鼻副鼻腔炎，鼻中隔彎曲症，鼻茸，肥厚性鼻炎，鼻・副鼻腔腫瘍など種々の疾患によってもたらされる。鼻閉は，頭痛，疲労感，睡眠障害，日中の眠気，注意力の低下，ひいてはQOLの低下など，鼻症状以外の症状をしばしば引き起こすことが知られている^1,2）。こうした症状は日常活動や社会活動を低下させる原因となる。近年，アレルギー性鼻副鼻腔炎は，特に若年～青年～壮年期において増加の一途にあり，直接的な医療経済上のコスト増がもたらされるとともに，学業や就労における効率の低下が大きな社会経済的損失につながることが懸念される^3）。本稿では，鼻閉によりもたらされる睡眠呼吸障害とQOLの低下について概説する。

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