OSAHS患者上气道容积与多导睡眠图部分参数的相关性研究

梁秀妮; 陆钊群; 吴平安; 关亚峰; 周萍; 曾敬贤

doi:10.13201/j.issn.1001-1781.2018.18.011

OSAHS患者上气道容积与多导睡眠图部分参数的相关性研究

- 香港大学深圳医院耳鼻咽喉科(深圳, 518000)

详细信息

通讯作者: 曾敬贤,E-mail:rkytsang@hku.hk

中图分类号: R563.8

收稿日期: 2018-06-15

Relationship between upper airway volume and polysomnography parameters of patients with obstructive sleep apnea hypopnea syndrome

- Department of Otolaryngology, the University of Hong Kong-Shenzhen Hospital, Shenzhen, 518000, China

More Information

Corresponding author: ZENG Jingxian, E-mail: rkytsang@hku.hk

Received Date: 15 June 2018

摘要

摘要: 目的：应用多层螺旋CT三维重建技术，对OSAHS患者进行上气道成像，探讨上气道鼻咽、腭咽、舌咽、喉咽区容积及变化率与AHI、LSaO₂的相关性。方法：①对51例经多导睡眠监测检查的OSAHS患者分别按AHI、LSaO₂值进行病情分度；②通过多层螺旋CT三维重建成像，测量患者于平静呼吸、闭口堵鼻深吸气（Müller's）时相上气道各区域容积，计算容积变化率，观察上气道顺应性；③分别将CT所测得的各区域容积值与AHI、LSaO₂进行单因素相关分析。结果：不同程度OSAHS患者上气道最小容积均位于腭咽区；腭咽区不同呼吸时相的容积与AHI呈负相关，与LSaO₂呈正相关；喉咽区平静呼吸时相的容积与AHI呈负相关；舌咽区Müller's呼吸时相的容积与LSaO₂呈正相关。结论：①在OSAHS的诊断中，上气道腭咽区容积可不同程度反映AHI、LSaO₂高低；②CT三维重建上气道容积测量对于评价OSAHS患者的上气道顺应性具有良好的应用价值。
- 睡眠呼吸暂停低通气综合征,阻塞性 /
- 体层摄影术,X线计算机 /
- 成像,三维 /
- 睡眠呼吸暂停低通气指数 /
- 多导睡眠监测
Abstract: Objective: To study the relationship among upper airway volume of naso-pharyngeal, yelo-pharyngeal,glosso-pharyngeal, hypo-pharyngeal area which measured by spiral computed tomography three-dimensional reconstruction technique, apnea hypopnea indexes, and the lowest oxygen saturation in patients with OSAHS.Method: ①fifty-one patients with OSAHS were received polysomnography, and then were divided into groups by the AHI,LSaO₂ values. ②To measure upper airway volume at normal breath and Müller maneuver state using spiral computed tomography three-dimensional reconstruction technique of CT measurement, and to calculate volume change rate and observe the upper airway compliance. ③To analyses the relationship between upper airway volume and AHI,LSaO₂ values.Result: The smallest upper airway volume of OSAHS was at the velo-pharyngeal level; the volume of velo-pharyngeal level were negatively correlated with AHI during normal respiration and Müller's maneuver state and were positively correlated with LSaO₂; the volume of hypo-pharyngeal were negatively correlated with AHI during normal respiration; the volume of glosso-pharyngeal were positively correlated with LSaO₂ during Müller's maneuver state.Conclusion: ①The volume of velo-pharyngeal level with OSAHS patients can reflect the severity of AHI,LSaO₂. ②The measurement of upper airway volume using spiral computed tomography three-dimensional reconstruction technique is good method to evaluate the upper airway compliance of OSAHS patients.
- sleep apnea hypopnea syndrome, obstructive /
- tomography, X-ray computed /
- imaging, three-dimensional /
- apnea hypopnea index /
- polysomnography

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