在成年OSAS患者的直立和仰卧姿势上测量上呼吸道
Chun Hown Ng1, Guang Chu1, Min Gu1
1Division of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, The University of Hong Kong, Sai Ying Pun, Hong Kong SAR, People's Republic of China.
European journal of dentistry
|September 4, 2025
概括
在患有阻塞性睡眠呼吸暂停 (OSAS) 的中国成年人中,身体姿势显著影响呼吸道测量. 舌骨,口腔和舌头的尺寸在垂直和仰卧之间发生变化,这对于诊断OSAS至关重要.
科学领域:
- 医学成像
- 睡眠医学
- 大脑测量
背景情况:
- 阻塞性睡眠呼吸暂停综合征 (OSAS) 是影响中国成年人群的普遍疾病.
- 了解与身体姿势相关的脑力测量变化对于准确的OSAS诊断和管理至关重要.
- 之前的研究还没有完全阐明姿势对特定呼吸道测量的影响.
研究的目的:
- 在被诊断患有OSAS的中国成年患者中,研究身体姿势 (直立或仰卧) 对呼吸道相关的脑电测量结果的影响.
- 通过姿势变化显著改变的特定脑力学参数.
- 评估某些测量对OSAS检测的可靠性,无论姿势如何.
主要方法:
- 一组由27名中国成年男性OSAS患者组成的队列,在3个月的间隔内进行了直立的横向脑电图扫描和卧卧的螺旋计算机断层扫描.
- 从两组图像中精心测量了上呼吸道和面结构的14个头脑参数.
- 用一个配对的学生t测试来分析两种姿势中测量的差异,显著性水平设置为p < 0.05.
主要成果:
- 在从直立姿势过渡到仰卧姿势时,在软口腔和舌头底部关系,舌头尺寸 (长度和高度) 和舌头骨位置 (下部和前部位移) 中观察到显著的差异 (p < 0. 05).
- 软的口腔和舌头看起来更厚,更短的躺着.
- 关键的是,在直立姿势和仰卧姿势之间的喉气道空间 (PASmin) 中没有发现统计学上显著的差异 (p > 0. 05).
结论:
- 在中国OSAS患者中,身体姿势对软口腔,舌头和舌骨的头部测量有显著的影响.
- 尽管影响软组织和骨位置的姿势变化, 最狭窄的喉呼吸道空间仍然保持一致.
- 从直立横向脑电图中获得的PASmin和U-MPW等测量可以被认为是早期发现OSAS的可靠指标.
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