在成年人具有阻塞性睡眠呼吸暂停高风险的头部计和超声波气道参数之间的关系
Anutta Terawatpothong1, Chidchanok Sessirisombat1, Wish Banhiran2
1Department of Clinical Dentistry, Walailak University International College of Dentistry (WUICD), 87 Ranong 2 Road, Dusit, Bangkok 10300, Thailand.
Journal of clinical medicine
|June 27, 2024
概括
面测量和超声波显示,在具有阻塞性睡眠呼吸暂停 (OSA) 高风险的成年人中存在相关性. 这些发现可以通过将骨结构与气道尺寸联系起来来改善OSA诊断.
科学领域:
- 医疗成像医学成像
- 睡眠医学 睡眠医学
- 人体解剖学 解剖学 解剖学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 的诊断和病因仍然具有挑战性.
- 传统的方法,如多睡眠学和头脑计,在确定气道阻塞方面存在局限性.
- 新兴的超声波技术为OSA查和局部化上呼吸道问题提供了潜力.
研究的目的:
- 为了研究面头脑测量参数和超声波呼吸道测量之间的关系.
- 用头脑测量和超声波来评估高风险的OSA成年人.
主要方法:
- 从33名成年人 (年龄大于18岁) 获得侧面头脑图,他们的STOP-Bang得分高,WHtR≥0.5.5.
- 潜层超声波用于评估气道参数.
- 大脑测量分析包括SNA,SNB,ANB,NSBA和MP-H等参数.
主要成果:
- 特定的头脑测量测量 (NSBA,MP-H,SNA,SNB,ANB) 与各种超声波气道尺寸 (舌头底部的空气空间,口腔喉宽度,舌头宽度,深层/表面组织厚度) 相相关.
- MP-H显示了与多个层次的空气空间宽度 (口腔大,舌头底部,表) 和组织厚度的相关性.
- NSBA和SNB与舌头宽度和口腔大内深层组织厚度有关.
结论:
- 大脑测量参数与毛,口腔大,舌头底部和上耳管的超声波测量有显著的相关性.
- 这些相关性表明,在理解OSA病理生理学方面,可以将头脑计和超声波整合起来.
- 这项研究强调了超声波与头脑计相结合的实用性,用于评估与OSA相关的气道结构.
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