中国保健营养（中旬刊）
中國保健營養（中旬刊）
중국보건영양（중순간）
China Hwalth Care & nutrition
2013年
4期
152-153
,共2页
靳宏伟%姚霜%余彩娥%王嵘
靳宏偉%姚霜%餘綵娥%王嶸
근굉위%요상%여채아%왕영
睡眠呼吸暂停%阻塞性%儿童%上气道%头影测量
睡眠呼吸暫停%阻塞性%兒童%上氣道%頭影測量
수면호흡잠정%조새성%인동%상기도%두영측량
Sleep apnea%obstructive%children%upper airway%cephelometric
目的：对阻塞性睡眠呼吸暂停低通气综合征儿童上气道结构的X线表现特征进行分析，为临床诊断及选择合理的治疗方案提供理论依据。方法：以20例阻塞性睡眠呼吸暂停低通气综合征儿童为研究对象，以20名相同年龄段无鼾症正常合儿童为对照组，用图象数字化X线头颅定位摄片仪，分别获得两样本的上气道结构的测量值，并行统计学比较分析。结果：阻塞性睡眠呼吸暂停低通气综合征患儿的骨性鼻咽、舌咽部的最小距离和后气道间隙等测量值，均明显小于对照组；软腭长、软腭厚和舌底-眼耳平面角则明显增大，而软腭-舌接触长度、舌体高度和软腭-腭平面角则明显减小，其变化有统计学差异；舌骨也表现为向下、向后移位，在研究组和对照组间存在显著性差异。结论：由于上气道矢状径减小、舌和舌骨的后缩及下降，使阻塞性睡眠呼吸暂停低通气综合征患儿的上气道通气能力下降。
目的：對阻塞性睡眠呼吸暫停低通氣綜閤徵兒童上氣道結構的X線錶現特徵進行分析，為臨床診斷及選擇閤理的治療方案提供理論依據。方法：以20例阻塞性睡眠呼吸暫停低通氣綜閤徵兒童為研究對象，以20名相同年齡段無鼾癥正常閤兒童為對照組，用圖象數字化X線頭顱定位攝片儀，分彆穫得兩樣本的上氣道結構的測量值，併行統計學比較分析。結果：阻塞性睡眠呼吸暫停低通氣綜閤徵患兒的骨性鼻嚥、舌嚥部的最小距離和後氣道間隙等測量值，均明顯小于對照組；軟腭長、軟腭厚和舌底-眼耳平麵角則明顯增大，而軟腭-舌接觸長度、舌體高度和軟腭-腭平麵角則明顯減小，其變化有統計學差異；舌骨也錶現為嚮下、嚮後移位，在研究組和對照組間存在顯著性差異。結論：由于上氣道矢狀徑減小、舌和舌骨的後縮及下降，使阻塞性睡眠呼吸暫停低通氣綜閤徵患兒的上氣道通氣能力下降。
목적：대조새성수면호흡잠정저통기종합정인동상기도결구적X선표현특정진행분석，위림상진단급선택합리적치료방안제공이론의거。방법：이20례조새성수면호흡잠정저통기종합정인동위연구대상，이20명상동년령단무한증정상합인동위대조조，용도상수자화X선두로정위섭편의，분별획득량양본적상기도결구적측량치，병행통계학비교분석。결과：조새성수면호흡잠정저통기종합정환인적골성비인、설인부적최소거리화후기도간극등측량치，균명현소우대조조；연악장、연악후화설저-안이평면각칙명현증대，이연악-설접촉장도、설체고도화연악-악평면각칙명현감소，기변화유통계학차이；설골야표현위향하、향후이위，재연구조화대조조간존재현저성차이。결론：유우상기도시상경감소、설화설골적후축급하강，사조새성수면호흡잠정저통기종합정환인적상기도통기능력하강。
Objective: To study the upper airway structures in obstructive sleep ap-nea-hyponea syndrome of children,and provide basis for clinical. Methods:20 children with obstructive sleep apnea hyponea syndrome were divided into test group and other 20 normal children were in the contrasted group. The cephalometric measure of upper airway structures were taken and analysed. And the statistic test was done. Results:The results show:the PNS-Ba、P-T and TB-TPPW were less than the contrasted group;PNS-U,SPP1-SPA and V-T/FH were increased. But UC-LC,TD-VT and PNS-U/PP were decreased. There is a statistic deference of the hyoid positiones between two groups. Conclusions: The aerate ability of upper airway of the children with obstrmtive sleep ap-nea-hyponea syndrome were decreased. Because the sagittal dimensions of upper airway were decreased. The tongue and tongue bone were moved back and descend.
