-
摘要: 目的:探讨维、汉OSAHS男性患者术前头颅侧位片及PSG、BMI之间存在的差异。方法:OSAHS男性患者维族33例、汉族42例,正常男性维族30例、汉族36例,在清醒状态下拍直立位头颅侧位片,将颅颌面结构参数及PSG数据等进行比较。结果:OSAHS维、汉男性患者与正常维、汉男性在MP-H、PAS、PNS-P、BMI上的差异具有统计学意义(P<0.05),维族正常男性与维族OSAHS男性患者在ANB°上的差异具有统计学意义(P<0.05)。维族OSAHS男性患者PNS-P、MP-H、BMI与汉族OSAHS男性患者的差异具有统计学意义(P<0.05)。结论:维、汉正常男性与维、汉OSAHS男性患者在气道平面、舌骨位置、软腭长度及体重上存在差异。维、汉OSAHS男性患者在舌骨位置、软腭长度及体重上存在差异,头颅侧位片能判断OSAHS患者上气道阻塞部位并为手术治疗提供方案。
-
关键词:
- 睡眠呼吸暂停低通气综合征 /
- 阻塞性 /
- 民族 /
- 头颅侧位片
Abstract: Objective:To investigate the difference of lateral cephalogram,PSG,BMI in Uygur and Han OSAHS male patients.Method:OSAHS male patients with 33 Uygur cases and 42 Han cases,30 normal Uygur cases and 36 normal Han cases were taken as control.Lateral cephalogram of upright position in waking state, then comparecraniofacial strcture parameters and PSG dates,etc.Result:Patients in OSAHS group and normal group had significant differences in the MP-H, PAS, PNS-P, BMI (P<0.05), the Uygur healthy men and Uygur male OSAHS patients had significant difference in the ANB° (P<0.05).The difference was statistically significant in PNS-P,MP-H and BMI in Uygur and Han OSAHS male patients(P<0.05).Conclusion:The differences in airway plane, hyoid position and length of soft palate and weight were significantly different between healthy men and OSAHS men. Han OSAHS male patients and Uygur male patients had significant differences inHyoid position,length of the soft palate and weight.lateral cephalogram can judge blocking site of upper airway and provide opration plan.-
Key words:
- sleep apnoea hypopnea syndrome /
- obstructive /
- nation /
- lateral cephalogram
-
[1] YOUNG T,PALTA M,DEMPSEY J,et al.The occurrence of sleep disordered breathing among middle age adults[J].N Engl J Med,1993,328:1230-1235.
[2] 崔静,吴晓鸣.新疆少数民族青年体型及体质特征的比较研究[J].局解手术学杂志,2004,9(4):304-306.
[3] 许海波,曾黎,骆剑伟,等.肥胖与OSAHS的关系研究[J].中国当代医药,2012,19(30):29-30.
[4] 杨家盛,杜秀芳.肥胖对阻塞性随眠呼吸暂停低通气综合征的影响[J].中国处方药,2015,13(1):1-3.
[5] 彭好,许辉杰,黄魏宁,等.阻塞性随眠呼吸暂停低通气综合征和单纯鼾症患者鼾声声压级参数分析[J].山东大学耳鼻喉眼学报,2014,28(3):42-46.
[6] 张家庆,沈瑛,周旭明,等.340例多导睡眠监测临床分析[J].医药前沿,2015,5(8):146-147.
[7] 候金宝,鲍海华.阻塞性睡眠呼吸暂停低通气综合征的影像学研究[J].中国现代医药杂志,2011,13(1):123-125.
[8] 李志耀,卢晓峰.上气道影像学检查在阻塞性睡眠呼吸暂停低通气综合征诊断中的应用[J].临床耳鼻咽喉头颈外科杂志,2011,25(20):956-960.
[9] 韩德明,叶京英,王军,等.上气道压力测定对阻塞性睡眠呼吸暂停综合征阻塞部位定位诊断研究[J].中华耳鼻咽喉科杂志.2001,36(4):301-304.
[10] 赵青,韦小燕,汪平,等.颅咽部数字线X头影测量在阻塞性睡眠呼吸暂停低通气综合征诊疗中价值[J].中华实用诊断与治疗杂志,2011,25(6):577-579.
[11] 王耀文,唐世雄.OSAHS患者咽腔阻塞定位方法[J].临床耳鼻咽喉头颈外科杂志,2012,26(9):431-432.
[12] 王凯,董明敏.CT三维重建评估OSAHS患者上呼吸道一期成形术效果[J].临床耳鼻咽喉头颈外科杂志,2012,26(3):104-106.
[13] 柳端今,杜兴亚,林宇华,等.头颅X线测量在阻塞性睡眠呼吸暂停综合征诊治中的意义[J].中华耳鼻咽喉科杂志,1998,33(1):49-51.
计量
- 文章访问数: 104
- PDF下载数: 56
- 施引文献: 0