在患有阻塞性睡眠呼吸暂停的患者中,上呼吸道,面形态和多睡眠学参数的性别差异
Santhiya Iswarya Vinothini Udayakumar1, Hyun Jin Jo2, Hyo Yeol Kim3
1Division of Oral and Maxillofacial Surgery, Department of Dentistry, Samsung Medical Center, Sungkyungkwan University School of Medicine, Seoul, Republic of Korea.
Journal of oral rehabilitation
|November 14, 2023
概括
舌骨的位置和软的长度显著影响阻塞性睡眠呼吸暂停 (OSA) 的严重程度,特别是在男性中. 在这项研究中,最小的后部气道空间与OSA严重程度没有直接关联.
科学领域:
- 睡眠医学 睡眠医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 呼吸系统医学 呼吸系统医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍的睡眠障碍,在睡眠期间经常出现上呼吸道崩.
- 这些情节与唤醒和潜在的氧气脱有关.
研究的目的:
- 分析与阻塞性睡眠呼吸暂停 (OSA) 相关的形态和神经因素.
- 为了将多睡眠学 (PSG) 数据与不同严重程度的OSA患者的二维 (2D) 脑呼吸道和骨参数相关联.
主要方法:
- 892名患者接受了综合评估,包括PSG和2D脑力测量分析.
- 根据呼吸暂停-呼吸暂停指数 (AHI) 将参与者分为两组:AHI < 15 和 AHI > 15.
- 分析了13个头脑测量参数,重点是气道和骨结构的线性和角度测量.
主要成果:
- AHI>15组表现出显著更高的年龄,BMI,子周长 (NC) 和腰围 (WC).
- 在兴奋指数 (AI),氧气不和指数 (ODI) 和组间最低氧气和值 (p < .001) 中发现了显著差异.
- 状骨的位置和软的长度显示出显著的差异 (p < .001),而最小的后部气道空间 (PAS) 则没有 (p = .225).
结论:
- 状骨的位置 (H_MNP) 和软的长度与AHI有很强的相关性,影响OSA的进展,特别是在男性中.
- 在最小PAS和OSA严重程度之间没有发现直接关联.
- 状骨的位置可能比面形态因素对OSA严重性更为关键.
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