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成人颅面结构与阻塞性睡眠呼吸暂停低通气综合征发生的关系

Relationship between adult craniofacial structures and development of obstructive sleep apnea-hypopnea syndrome
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摘要 目的:探讨成人颅面结构对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)发生的影响。方法:对50例OSAHS患者和50例健康对照者进行身高、体重、颈围(NC)测量及MS评分,通过AutoCAD2004软件对甲颏间距、甲颏角、垂颏间距、颏下唇间距进行测量,2组测量数据经统计学处理并进行对比分析。结果:与对照组相比,OSAHS组有以下颅面结构改变:①NC粗;②甲颏角角度大;③MS评分级别高;④BMI高;⑤颏下唇间距短。结论:甲颏平面倾斜程度及口咽部的狭窄程度与OSAHS发生有关。颅面部骨性及软组织结构解剖形态,对上气道在睡眠状态下的大小有决定性的作用,对OSAHS的发生发展有重要影响。 Objective:To explore the influence of adult craniofacial structures on obstructive sleep apnea hypopnea syndrome(OSAHS).Method:This study compared the measurements of the height,body weight,neck circumference,the mallampati oropharyngeal score grading,thyromental distance,thyromental angle,lobule-mental distance,mental-lower lip distance of 50 patients with OSAHS with those of 50 controls.Result:Statistical findings showed that OSAHS patients were different from controls in the following ways:①higher neck circumference;②larger thyromental angle;③higher Mallampati scores;④higher body mass index;⑤shorter mental-lower lip distance.Conclusion:A crowded posterior oropharynx and a steep thyromental plane are associated with OSAHS.The adult craniofacial structures of bony and soft tissue determine the dimension of upper airway during sleep andpaly an important role in the development of OSAHS.
出处 《临床耳鼻咽喉头颈外科杂志》 CAS CSCD 北大核心 2010年第11期502-505,共4页 Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词 睡眠呼吸暂停低通气综合征 阻塞性 甲颏角 垂颏间距 颏下唇间距 sleep apnea-hypopnea syndrome obstructive thyromental angle lobule-mental distance mental-lower lip distance
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  • 1ISONO S, REMMERS J E, TANAKA A, et al. Anatomy of pharynx in patients with obstructive sleep apnea and in normal subjects[J]. J Appl Physiol, 1997,82 : 1319-- 1326.
  • 2YUCEL A, UNLUM, HAKTA NIR A, et al. Evaluation of the upper airway cross-sectional area changes in different degrees of severity of obstructive sleep apnea syndrome: cephalometric and dynamic CT study [J]. AJNR Am J Neuroradiol,2005,26:2624--2629.
  • 3KIELY J L, MCNICHOLAS W T. Cardiovascular risk factors in patients with obstructive sleep apnea syndrome[J] . Eur Respir J, 2001,16 : 128-- 133.
  • 4FRIEDLANDER A H ,WALKER L A,FRIEDLANDER I K, et al. Diagnosing and comanaging patients with obstructive sleep apnea syndrome[J]. J Am Dent Assoc,2000,131 : 1178-- 1184.
  • 5SUYAMA H, TSUNO S, TAKEYOSHI S. The clinical usefulness of predicting difficult endotracheal intubation[J]. Masui, 1999,48 : 37-- 41.
  • 6MILES P G, VIG P S, WEYANT R J, et al. Craniofacial structure and obstructive sleep apnea syndrome--a qualitative analysis and recta-analysis of the literature[J]. Am J Orthod Dentofacial Orthop, 1996,109:163--172.
  • 7FRIEDMAN M, TANYERI H, LA ROSA M, et al. Clinical predictors of obstructive sleep apnea[J]. Laryngoscope, 1999,109 : 1901 -- 1907.
  • 8SCHELLENBERG J B, MAISLIN G, SCHWAB R J. Physical findings and the risk of obstructive sleep apnea[J]. Am J Respir Crit Care Med, 2000, 162: 740--748.
  • 9HIREMATH A S, HILLMAN D R,JAMES A L,et al. Relationship between difficult tracheal intubation and obstructive sleep apnoea[J]. Br J Anaesth, 1998, 80:606--611.
  • 10LIISTRO G, ROMBAUX P, BELGE C, et al. High Mallampati score and nasal obstruction are associated risk factors for obstructive sleep apnoea[J]. Eur Respir J, 2003,21 : 248 -- 252.

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