[口腔呼吸对阻塞性睡眠呼吸暂停患者上呼吸道结构的影响]
概括
口腔呼吸改变喉形态,减少呼吸道尺寸阻塞性睡眠呼吸暂停症候群 (OSAHS) 患者比健康个体更多. 这些变化,包括舌头缩短和喉空间减少,与OSAHS的严重程度相关.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 医疗成像医学成像
背景情况:
- 阻塞性睡眠呼吸暂停症候群 (OSAHS) 是一种普遍的疾病,其特点是睡眠期间经常出现上呼吸道崩.
- 了解呼吸期间喉形态的动态变化对于诊断和治疗OSAHS至关重要.
研究的目的:
- 为了比较口腔和鼻腔呼吸期间OSAHS患者和健康对照人群之间的喉形态变化.
- 确定影响这些形态变化的因素.
主要方法:
- 磁共振成像 (MRI) 用于评估29名OSAHS患者和20名对照者的上呼吸道结构.
- 测量是在清醒和口腔呼吸时进行的,鼻腔塞.
主要成果:
- 在两组中,口腔呼吸减少了舌头轴的长度,舌接触区域,以及下和后壁之间的垂直距离.
- 在口腔呼吸过程中,OSAHS患者表现出呼吸道的最小横截面积和体积显著减少.
- 在OSAHS患者中,呼吸暂停-呼吸暂停指数 (AHI) 与RP气道体积减少有积极的相关性.
结论:
- 口腔呼吸诱导喉变化,这些变化在OSAHS患者中更为明显,特别是在严重的病例中.
- 这些动态形态变化有助于OSAHS的上呼吸道阻塞.
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