在药物诱导的睡眠内镜中,人类测量预测器具有正气道压力
Elliott M Sina1, Jared Robinson1, Alana Platukus1
1Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
概括
部,腰部和部周长预测阻塞性睡眠呼吸暂停 (OSA) 患者的呼吸道崩不耐受CPAP. 中部脂肪与气道阻力有关,为手术规划提供了信息.
科学领域:
- 睡眠医学 睡眠医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科手术的结果
背景情况:
- 人类测量测量是阻塞性睡眠呼吸暂停 (OSA) 的确立危险因素.
- 这些测量对持续正气道压力 (CPAP) 不耐受OSA患者手术后果的预测价值尚不清楚.
- 药物诱导的睡眠内镜以正气道压力 (DISE-PAP) 评估气道崩模式.
研究的目的:
- 调查部,腰部和部周长与DISE-PAP期间的呼吸道崩模式之间的联系.
- 探索这些人体测量测量和喉开口压力 (PhOPs) 之间的关系.
- 确定人体测量数据在预测CPAP不耐受OSA患者手术结果中的有用性.
主要方法:
- 在一个单一的第三级护理中心进行了回顾性队列研究.
- 包括73名接受DISE-PAP的CPAP不耐受的OSA患者.
- 分析了人口统计,人体测量和DISE发现,使用斯皮尔曼的相关性,并对身体圆度指数 (BRI) 和身体质量指数 (BMI) 进行了次分析.
主要成果:
- 完整的毛皮崩与BMI,BRI,部,腰部,部周长和腰高比相关.
- 与BMI,部和腰围相关的完全侧面口壁崩.
- 子周长≥42厘米在男性中显著增加侧壁倒塌的风险 (OR 5.37). PhOP与部,部和腰部周长相关.
结论:
- 子,腰和部周长是DISE-PAP期间气道崩的重要预测因素.
- 由这些测量结果表明的中心脂肪在气道阻力中起着至关重要的作用.
- 结果支持将这些人体测量措施纳入CPAP不耐受OSA患者手术规划的手术前评估.
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